ABIMBOLA ODUGUWA (NPI# 1184003121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184003121 |
| Entity Type | Individual |
| Full Name | ABIMBOLA ODUGUWA |
| Credential | M.D. |
| Practice Address |
6200 Beach Channel Dr Arverne NY 11692 |
| Mailing Address |
550 W 54th St Apt 1734 New York NY 10019-4722 |
| Practice Telephone | 7189457150 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 294088 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
6200 BEACH CHANNEL DR |
| City | ARVERNE |
| State | NY |
| Zip Code | 11692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509206 | Maria Theresa Amago Benedicto Yu | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2005-06-22 |
| 1588287197 | Thomas J Meyers | Social Worker | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2020-05-19 |
| 1518464429 | Tammy Oung | Student in an Organized Health Care Education/Training Program | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2018-04-07 |
| 1447789490 | Kimberley Augustin | Nurse Practitioner | 6200 Beach Channel Dr, Arverne, NY 11692 | 2017-06-05 |
| 1063862092 | Luz C Santana | Counselor | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-06-21 |
| 1255791612 | Joshua Ishal | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-02-28 |
| 1093173429 | Laura Beaudoin Gentes | Student in an Organized Health Care Education/Training Program | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2016-01-30 |
| 1679944037 | Willer Constant | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2015-10-12 |
| 1558737692 | Nnenna Obianuju Ezechukwu | Dentist | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2015-08-12 |
| 1750781936 | Wanda Rodriguez | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2014-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209528 | Mary Nwalozie | Licensed Practical Nurse | 69 22 Almeda Ave, Arverne, NY 11692 | 2018-09-21 |
| 1083117592 | Louise Christine Dougherty I | Registered Nurse | 6412 Ocean Ave North, Arverne, NY 11692 | 2018-03-10 |
| 1508384397 | Gineth Nelson | Counselor | 6944 De Cost Avenue, Arverne, NY 11692 | 2017-09-01 |
| 1871028217 | Patricia D Molloy | Licensed Practical Nurse | 174 Saltaire Lane, Arverne, NY 11692 | 2017-04-24 |
| 1265984934 | Natacha Jean Baptiste | Licensed Practical Nurse | 449 Beach 67th St, Apt 2, Arverne, NY 11692 | 2016-10-28 |
| 1508224320 | Anamaria Tapia | Home Health | 6518 Bayfield Avenue, Arverne, NY 11692 | 2016-02-08 |
| 1396160065 | Glynn Carbonaro | Registered Nurse | 745 Beach 79th St, Far Rockaway, NY 11692 | 2014-03-04 |
| 1558605675 | Reginald Nelson | Specialist | 363 Beach 54h St, 4e, Far-rockaway, NY 11692 | 2012-11-15 |
| 1306109616 | Felecia Stotts | Specialist | 106 Beach 59st, Apt 101, Far Rockaway, NY 11692 | 2012-06-21 |
| 1760750608 | Dolma Mitchell | Licensed Practical Nurse | 533 Beach 66 Street, Apt#2, Arverne, NY 11692 | 2011-12-07 |
| Find all providers in zip 11692 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750781936 | Wanda Rodriguez | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2014-08-25 |
| 1992096259 | Sanga Bunyavanich | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2011-04-21 |
| 1235140922 | Roselia Guillen-santana | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2006-08-10 |
| 1588601645 | Betty A Chua | Pediatrics | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.