Active NPIOrganization

O.b. Adult Health Nurse Practitioner Services PC

Clinic/Center in Staten Island, New York

NPI Number1164933487
Practice location
209 Broad St, Staten Island, NY 10304-2105
Fax
718-448-7263
Last updated
November 2, 2018

O.b. Adult Health Nurse Practitioner Services PC is a healthcare organization based in Staten Island, NY. O.b. Adult Health Nurse Practitioner Services PC practices in Staten Island, NY. The NPI Number for O.b. Adult Health Nurse Practitioner Services PC is 1164933487 and holds a License No. F307489 (NY). The current practice location address for O.b. Adult Health Nurse Practitioner Services PC is 209 Broad St, Staten Island, NY 10304-2105 and can be reached out via phone at 917-374-9180 and via fax at 718-448-7263.

Provider Profile Details

NPI Number
1164933487
Provider Name
O.b. Adult Health Nurse Practitioner Services PC
Provider Entity Type
Organization
Address
209 Broad St, Staten Island, NY 10304-2105
Phone Number
917-374-9180
Fax Number
718-448-7263
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Olasunkanmi Bhadmus, NURSE PRACTITIONER · Assistant Director · 917-374-9180
Provider Enumeration Date
October 13, 2017
Last Update Date
November 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Broad St
Staten Island, NY 10304-2105
Zip
10304-2105
Phone Number
917-374-9180
Fax Number
718-448-7263
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
224 Osgood Ave
Staten Island, NY 10304-3607
City
Staten Island
State
NY
Zip
10304-3607
Fax Number
718-448-7263

License Information

License Number (1)
F307489
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
573342
License State (2)
NY
Taxonomy (2)
Clinical Nurse Specialist, Gerontology · 364SG0600X
License Number (3)
F307489
License State (3)
NY
Taxonomy (3)
Clinic/Center · 261Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of O.b. Adult Health Nurse Practitioner Services PC?

The NPI number of O.b. Adult Health Nurse Practitioner Services PC is 1164933487. It was assigned on October 13, 2017 and is currently active in the NPPES registry.

What is the specialty of O.b. Adult Health Nurse Practitioner Services PC?

O.b. Adult Health Nurse Practitioner Services PC is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NY under license number F307489.

Where does O.b. Adult Health Nurse Practitioner Services PC practice?

The practice location is 209 Broad St, Staten Island, NY 10304-2105. The office can be reached at 917-374-9180 (phone) or 718-448-7263 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164933487 directly on the NPPES registry website.

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