JOHNSON BOLORUNDURO (NPI# 1538607320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538607320 |
| Entity Type | Individual |
| Full Name | JOHNSON BOLORUNDURO |
| Credential | RN |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Mailing Address |
2620 Beverley Rd Apt 8b Brooklyn NY 11226-5477 |
| Practice Telephone | 3472581679 |
| Mailing Telephone | 3472581679 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
716854 | NY | Nursing Service Providers |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307906 | Aysha Evans | Registered Nurse | 945 78th St Fl 1, Brooklyn, NY 11228-2604 | 2020-08-19 |
| 1649890831 | Marie Angela Golez Bontigao | Registered Nurse | 7404 5th Ave, Brooklyn, NY 11209-2704 | 2020-04-17 |
| 1790347094 | Tricia A. Low | Registered Nurse | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2019-07-08 |
| 1760973127 | Bernadette Udeozor | Registered Nurse | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2018-05-22 |
| 1861901571 | Camille Koroma | Registered Nurse | 263 7th Ave, Brooklyn, NY 11215-7247 | 2017-09-26 |
| 1306144563 | Maureen Skyers-martin | Registered Nurse | 150 55th St, Brooklyn, NY 11220-2559 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950190 | Gregory Phillips | Registered Nurse | 14309 248th St, Rosedale, NY 11422-2139 | 2019-06-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1972079242 | Erinn Kathleen Garcia | Registered Nurse | 110 Dubois St, Livingston Manor, NY 12758 | 2018-10-15 |
| 1629558234 | Jheanell Williams | Registered Nurse | 1067 Burke Ave, Bronx, NY 10469-3820 | 2018-08-14 |
| 1568960540 | Andrew Michael Spellen | Registered Nurse | 8917 190th St, Hollis, NY 11423-1926 | 2018-01-25 |
| 1609386812 | Teresa Spinella | Registered Nurse | 6150 Lakeshore Rd, Cicero, NY 13039-7809 | 2017-10-03 |
| 1609385582 | Danielle Knobel Zuma | Registered Nurse | 65 Rhodes Dr, New Hyde Park, NY 11040-3527 | 2017-09-24 |
| 1851813117 | Leah Mary Geoghegan | Registered Nurse | 347 Fifth Ave, Suite 1402-342, New York, NY 10016-5034 | 2017-07-07 |
| 1639524028 | Meghan Wyman | Registered Nurse | 511 47th Ave Apt 7f, Long Island City, NY 11101-5971 | 2016-05-04 |
| 1487014379 | Alexandra Marie Chang | Registered Nurse | 299 E 8th St Apt 25, New York, NY 10009-5221 | 2016-03-04 |
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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.