MODUPE KOLAWOLE (NPI# 1316588684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316588684 |
| Entity Type | Individual |
| Full Name | MODUPE KOLAWOLE |
| Practice Address |
681 Clarkson Ave Brooklyn NY 11203-2199 |
| Practice Telephone | 7182217772 |
| Mailing Telephone | 7182217772 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
489040 | NY | Nursing Service Providers |
| Street Address |
681 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2199 |
| 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 |
| 1295378461 | Racheal Olufunke Ajiboye | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-21 |
| 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 |
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932877 | Julie Lynn Hilberg | Registered Nurse | 4220 Brookway Ln, Brooklyn, OH 44144-1303 | 2020-11-02 |
| 1851913453 | Ekaterina Prokofieva | Registered Nurse | 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | 2020-05-18 |
| 1023643053 | Victoriya Slavich | Registered Nurse | 250 Parkville Ave Apt L2, Brooklyn, NY 11230-1362 | 2020-03-10 |
| 1508358011 | Nikesha Abdool | Registered Nurse | 249 Varet St, Brooklyn, NY 11206-3823 | 2018-05-31 |
| 1578970786 | Gabriel Brooks-harris | Registered Nurse | 397 Bridge St Fl 7, Brooklyn, NY 11201-5247 | 2014-07-20 |
| 1245651025 | Emmanuel Debouvary Rhodes Denis | Registered Nurse | 978 Clarkson Ave, Brooklyn, NY 11203-2645 | 2013-12-23 |
| 1023382496 | Casandra S Dowling | Registered Nurse | 82 Crystal St, Brooklyn, NY 11208-2607 | 2012-03-02 |
| 1811260110 | Emancia Myrie | Registered Nurse | 999 Blake Avenue, Brooklyn, USA 11208 | 2012-02-16 |
| 1275846859 | Sharafat Motayo Lawal | Registered Nurse | 245 Chester St, Brooklyn, NY 11212-5622 | 2010-07-23 |
| 1457585648 | Shaun Oswald Junor | Registered Nurse | 566 Pennsylvania Ave, 1a, Brooklyn, NY 11207-5760 | 2009-05-04 |
| 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.