MOJISOLA GANIAT OMOTUNDE (NPI# 1609419415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609419415 |
| Entity Type | Individual |
| Full Name | MOJISOLA GANIAT OMOTUNDE |
| Practice Address |
14805 116th Ave Jamaica NY 11436-1306 |
| Practice Telephone | 3472642034 |
| Mailing Telephone | 3472642034 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
514437 | NY | Nursing Service Providers |
| Street Address |
14805 116TH AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11436-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007361 | Precious Bunkley | Registered Nurse | 148-04 133rd Ave, Jamaica, NY 11436 | 2020-09-11 |
| 1245864362 | Olga J Mondesir | Counselor | 133-16 143rd Street, Jamaica, NY 11436 | 2020-02-27 |
| 1225661499 | Pharmex Pharmacy Inc | Pharmacy | 140-18 Rockaway Blvd, Jamaica, NY 11436 | 2020-02-17 |
| 1073156436 | Star Dme Inc | Durable Medical Equipment & Medical Supplies | 141-04 Rockaway Blvd, Ste 1f, Jamaica, NY 11436 | 2019-10-17 |
| 1154977924 | Victoria Jo-el Pearson | Counselor | 130-38 146 Street, Jamaica, NY 11436 | 2019-08-16 |
| 1972068104 | Noella Young | Social Worker | 142-29 Rockaway Blvd, Jamiaca, NY 11436 | 2019-02-01 |
| 1629562780 | Jaishree Mekhuri | Student in an Organized Health Care Education/Training Program | 14243 123 Ave, Jamiaca, NY 11436 | 2018-06-21 |
| 1689113268 | Ashlie Darrel Butler | Specialist | 116-48 Inwood Street, Jamaica, NY 11436 | 2017-02-16 |
| 1649714718 | Marina Tarn | Speech-Language Pathologist | 114-43 142nd Street, Jamaica, NY 11436 | 2016-12-08 |
| 1487011862 | Cherie Grizzell | Counselor | 140-15 Bascom Ave, South Ozone Park, NY 11436 | 2016-01-15 |
| Find all providers in zip 11436 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356632467 | Tashie Simpson | Registered Nurse | 12509 172nd St, Jamaica, NY 11434-3306 | 2011-04-22 |
| 1033744404 | Roman Mondal | Registered Nurse | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2020-03-06 |
| 1548522725 | Crystal Khan | Registered Nurse | 9027 Sutphin Blvd, 5th Floor, Jamaica, NY 11435-3647 | 2012-06-13 |
| 1851542740 | Hannat Adenrele | Registered Nurse | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2008-10-09 |
| 1558406892 | Magdalena Kaupke | Registered Nurse | 8268 164th St, Jamaica, NY 11432-1121 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688864 | Shayna Feuer | Registered Nurse | 275 Fort Washington Ave Apt 2a, New York, NY 10032-1234 | 2020-10-28 |
| 1932716297 | Sonia Somwar | Registered Nurse | 13163 Francis Lewis Blvd, Laurelton, NY 11413-1844 | 2020-09-29 |
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1912519059 | Anu Vazhappilly | Registered Nurse | 356 Central Park Ave Apt E3, Scarsdale, NY 10583-1363 | 2020-08-19 |
| 1336759430 | Christopher Colin Fish | Registered Nurse | 10 County Center Rd, White Plains, NY 10607-1537 | 2020-08-04 |
| 1265041172 | Samantha M Joanette | Registered Nurse | 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655-3236 | 2020-07-27 |
| 1760009062 | Jake Hernandez | Registered Nurse | 12333 83rd Ave Apt 2601, Kew Gardens, NY 11415-3439 | 2020-07-02 |
| 1477178192 | Edith I Cline | Registered Nurse | 1204 E 223rd St, Bronx, NY 10466-5802 | 2020-06-09 |
| 1851913453 | Ekaterina Prokofieva | Registered Nurse | 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | 2020-05-18 |
| 1295357986 | Sarah Elizabeth Elkin | Registered Nurse | 265 Cabrini Blvd Apt 3e, New York, NY 10040-3610 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
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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.