RACHEAL OLUFUNKE AJIBOYE (NPI# 1295378461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295378461 |
| Entity Type | Individual |
| Full Name | RACHEAL OLUFUNKE AJIBOYE |
| Credential | RN |
| Practice Address |
681 Clarkson Ave Brooklyn NY 11203-2125 |
| Mailing Address |
10415 187th St Saint Albans NY 11412-1028 |
| Practice Telephone | 7182217700 |
| Mailing Telephone | 3474958140 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
558887 | NY | Nursing Service Providers |
| Street Address |
681 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457431546 | Dhananjay A Bhagogi | Internal Medicine | 681 Clarkson Ave, Building 2, Brooklyn, NY 11203-2125 | 2006-10-16 |
| 1588295034 | Victoria Tayese | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2020-02-03 |
| 1548806979 | William Brown | Student in an Organized Health Care Education/Training Program | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-11-20 |
| 1194367854 | Rose Boutin | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-15 |
| 1508407875 | Nathaniel Ajibade | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1316588684 | Modupe Kolawole | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1861033359 | Irshad Amirali Sumar | Psychiatry & Neurology | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-05 |
| 1710528799 | Corazon Tapere Ty | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-01 |
| 1043851215 | Raisa Suelyn Harrington | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-09-30 |
| 1245881523 | Emmanuel Adesina | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879109 | Linda Ann Paradiso | Registered Nurse | 300 Jay St # A611m, Brooklyn, NY 11201-1909 | 2020-07-29 |
| 1083119531 | Darise Howard | Registered Nurse | 988 Myrtle Ave, Brooklyn, NY 11206-6603 | 2018-03-27 |
| 1730605916 | Toni Maria Turner | Registered Nurse | 1125 Fulton St., Brooklyn, NY 10468 | 2017-08-18 |
| 1124305149 | Carole Alexander-noel | Registered Nurse | 1429 E 100th St, Brooklyn, NY 11236-5522 | 2011-11-04 |
| 1760792501 | Yolanda Carter | Registered Nurse | 1343 E 88th St, Brooklyn, NY 11236-5117 | 2010-10-14 |
| 1932418274 | Agnes Umali Rueca | Registered Nurse | 250 Baltic Street, Brooklyn, NY 11201 | 2010-10-05 |
| 1174844112 | Ann M C Dabrell | Registered Nurse | 2020 Coney Island Ave 2nd Fl, Brooklyn, NY 11223 | 2010-06-14 |
| 1538141312 | Eda M. Malenky | Registered Nurse | 861 Pacific St, Brooklyn, NY 11238-3119 | 2005-11-16 |
| 1538794995 | Karla-marie Marcelle | Registered Nurse | 19 Duryea Pl, Brooklyn, NY 11226-5426 | 2020-03-05 |
| 1588295034 | Victoria Tayese | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2020-02-03 |
| Find all providers in BROOKLYN | ||||
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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.