OLUWADAMILARE ADEOSUN (NPI# 1265756647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265756647 |
| Entity Type | Individual |
| Full Name | OLUWADAMILARE ADEOSUN |
| Practice Address |
264 W 118th St New York NY 10026-1620 |
| Practice Telephone | 2129326500 |
| Mailing Telephone | 2129326500 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2016-08-17 |
| NPI Deactivation Date | 10/31/2012 |
| NPI Reactivation Date | 2013-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 619712 | NY | Nursing Service Providers |
| Street Address |
264 W 118TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871544536 | Dominique M Shaw | Obstetrics & Gynecology | 264 W 118th St, New York, NY 10026-1620 | 2006-05-15 |
| 1033757539 | Kiana Chindy Joseph | Nurse Practitioner | 264 W 118th St, New York, NY 10026-1620 | 2019-12-15 |
| 1073176376 | Danielle Davis | Nutritionist | 264 W 118th St, New York, NY 10026-1620 | 2019-04-22 |
| 1598290058 | Thomas J Richardson | Pediatrics | 264 W 118th St, New York, NY 10026-1620 | 2017-04-21 |
| 1417364506 | Desta Arnold | Dietitian, Registered | 264 W 118th St, New York, NY 10026-1620 | 2014-07-21 |
| 1932366283 | Adia N Ravenell | Physician Assistant | 264 W 118th St, New York, NY 10026 | 2008-05-22 |
| 1568590669 | Tracey Monique Blake-dixon | Physician Assistant | 264 W 118th St, New York, NY 10026-1620 | 2007-03-01 |
| 1902951080 | Mary Pegues | Physician Assistant | 264 W 118th St, New York, NY 10026-1620 | 2007-01-25 |
| 1538224811 | Lawrence Bailey | Dentist | 264 W 118th St, Second Floor Dental Clinic, New York, NY 10026-1620 | 2006-12-27 |
| 1144318510 | Andre Gray | Pediatrics | 264 W 118th St, Renassiance Health Care Network, New York, NY 10026-1620 | 2006-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
| 1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
| 1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
| 1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
| 1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
| 1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
| 1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1609476886 | Beth Tambor | Registered Nurse | 175 Bleecker St, New York, NY 10012-1441 | 2020-10-28 |
| 1437759537 | Justin Raro | Registered Nurse | 401 E 60th St Apt 3h, New York, NY 10022-1556 | 2020-10-28 |
| 1316554892 | Bella Marder | Registered Nurse | 357 E 57th St Frnt 1, New York, NY 10022-2907 | 2020-09-28 |
| 1215544945 | Pilar Giffenig | Registered Nurse | 114 Christopher St Apt 21, New York, NY 10014-4228 | 2020-09-27 |
| 1275149106 | Anna G. Custodio | Registered Nurse | 480 Main St Apt 3g, New York, NY 10044-0406 | 2020-09-16 |
| 1275146342 | Lynquita Bethea | Registered Nurse | 135 West 550th Street, New York, NY 10020 | 2020-08-28 |
| 1598378671 | Marlen Marrero | Registered Nurse | 1901 1st Ave Ste 7b-8, New York, NY 10029-7491 | 2020-08-28 |
| 1699388827 | Jacqueline Donna Marie Jamieson | Registered Nurse | 235 E 95th St Apt 16d, New York, NY 10128-4019 | 2020-08-27 |
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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.