MRS. OLUTOYIN EKUNDAYO


Address: 3401 N Broad St, Philadelphia, PA 19140-5103
Phone: 2157071622

MRS. OLUTOYIN EKUNDAYO (NPI# 1053862292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053862292
Entity Type Individual
Full Name MRS. OLUTOYIN EKUNDAYO
Credential MSN, AGPCNP-BC, CCRN
Practice Address 3401 N Broad St
Philadelphia
PA 19140-5103
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157071622
Practice Fax Number 2157070943
Mailing Telephone 2157071622
Mailing Fax Number 2157070943
Enumeration Date 2016-10-24
Last Update Date 2018-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP016699 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3401 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942205133 Shefali Agrawal Specialist 3401 N Broad St, Philadelphia, PA 19140-5103 2005-06-15
1962018523 Caroline Grace Kelly Audiologist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-09-18
1457965964 Barbara Ohiaeri Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-09-02
1710505904 Cara Greenspan 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-14
1013535756 Srinivasa Prasad Venkata Kanuparthi Neurological Surgery 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1417575143 Sakshi Gandhi Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1801414594 Azka Rahman Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-08
1417574658 Anna-kaye Marie Brown Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-04
1285251405 Shalonda Cook Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
1386261501 Temidayo Aderibigbe Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1235696741 Divya Rebecca Roberts Nurse Practitioner 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 2019-02-21
1770073090 Eboni Simmons Nurse Practitioner 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 2018-05-11
1780180620 Natalie Clarke Nurse Practitioner 7727 Overbrook Ave, Philadelphia, PA 19151-2016 2018-03-31
1396240792 Barbara Ann Young Nurse Practitioner 15054 Carter Rd, Philadelphia, PA 19116-1503 2018-03-27
1780182451 Kelly Ann Joyce Nurse Practitioner 5225 Arendell Ave, Philadelphia, PA 19114-4229 2018-01-29
1699273615 Dana Patricia Ridley Nurse Practitioner 2024 Emily St, Philadelphia, PA 19145-2823 2018-01-24
1497205157 Sinu Satheeshbabu Nair Nurse Practitioner 9285 Darlington Rd, Philadelphia, PA 19115-2734 2016-10-06
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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