MRS. ENITAN ADEPEJU OREDERU


Address: 9 Eldridge Ave, Staten Island, NY 10302-2308
Phone: 7184478085

MRS. ENITAN ADEPEJU OREDERU (NPI# 1568628550) 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) 1568628550
Entity Type Individual
Full Name MRS. ENITAN ADEPEJU OREDERU
Other Name MRS. ENITAN ADEPEJU OREDERU
Credential REGISTERED NURSE
Practice Address 9 Eldridge Ave
Staten Island
NY 10302-2308
Practice Telephone 7184478085
Mailing Telephone 7184478085
Enumeration Date 2008-07-30
Last Update Date 2008-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
560531-1 NY Nursing Service Providers
N 374U00000X Home Health Aide Nursing Service Related Providers

Office Location

Street Address 9 ELDRIDGE AVE
City STATEN ISLAND
State NY
Zip Code 10302-2308

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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1083068605 Marufa Adams Registered Nurse 33 Prince St, Staten Island, NY 10304-1806 2016-04-20
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1659751410 Nia Lauren Nembhard Registered Nurse 61 Highview Ave, Staten Island, NY 10301-1316 2015-06-05
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Competitor

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City STATEN ISLAND
Zip Code 10302

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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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