MR. OLUMIDE ISAAC FAMOJURO (NPI# 1972060283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972060283 |
| Entity Type | Individual |
| Full Name | MR. OLUMIDE ISAAC FAMOJURO |
| Credential | RN |
| Practice Address |
83 Van Buren St Freeport NY 11520-6226 |
| Practice Telephone | 3478379177 |
| Mailing Telephone | 3478379177 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
661135 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DRIVERS LICENSE | 132400594 | 01 |
| Street Address |
83 VAN BUREN ST |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528328838 | Mindy F Wellen | Registered Nurse | 58 W. Seaman Avenue, Freeport, NY 11561 | 2012-05-21 |
| 1770843377 | Antonia Pincus | Registered Nurse | 80 Raynor St, Freeport, NY 11520-4527 | 2012-05-17 |
| 1487914008 | Marianne Seitz | Registered Nurse | 255 Archer St, Freeport, NY 11520-4950 | 2012-05-17 |
| 1750641288 | Agnes Ford-burgess | Registered Nurse | 450 S Ocean Ave, Freeport, NY 11520-5538 | 2012-05-17 |
| 1275893893 | Laila Schmutzler | Registered Nurse | 58 W Seaman Ave, Freeport, NY 11520-1524 | 2012-05-17 |
| 1215297700 | Miriam Warren | Registered Nurse | 25 Pine St, Freeport, NY 11520-3617 | 2012-05-18 |
| 1649530247 | Sarah Collins-molese | Registered Nurse | 235 N Ocean Ave, Freeport, NY 11520-2135 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
| 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.