NPI Code Detail JSON Logo

1689417982 NPI number — OLUWATOYIN ODUNAYO ADEGOKE NP

NPI Number: 1689417982
Health Care Provider/Practitioner: OLUWATOYIN ODUNAYO ADEGOKE NP

Information about “1689417982” NPI (OLUWATOYIN ODUNAYO ADEGOKE NP) exists in 1689417982 in HTML format HTML  |  1689417982 in plain Text format TXT  |  1689417982 in PDF (Portable Document Format) PDF  |  1689417982 in an XML format XML  formats.

NPI Number : 1689417982 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689417982",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADEGOKE",
    "FirstName": "OLUWATOYIN",
    "MiddleName": "ODUNAYO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3581 BIG TREE RD UNIT 14",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMBURG",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14075-1737",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-398-1218",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "134 W EAGLE ST FL 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUFFALO",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14202-3804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-858-8090",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/14/2024",
    "LastUpdateDate": "06/14/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "720801",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "351982",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.