Healthcare Provider Details

I. General information

NPI: 1235045618
Provider Name (Legal Business Name): CARE FOCOUS NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 CONEY ISLAND AVE STE 3
BROOKLYN NY
11223-2347
US

IV. Provider business mailing address

224 OSGOOD AVE
STATEN ISLAND NY
10304-3607
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OLASUNKANMI BHADMUS
Title or Position: PROVIDER & OWNER
Credential:
Phone: --