Active NPIIndividual providerSole proprietor

Oladayo O Judd

Nurse Practitioner in Bronx, New York

NPI Number1578928180
Practice location
130 West Kingsbridge Road, Rehab Medicine, Bronx, NY 10468-1046
Fax
—
Last updated
November 6, 2020

Oladayo Oyedele Judd is a Nurse Practitioner based in Bronx, NY. Oladayo Oyedele Judd practices in Bronx, NY. The NPI Number for Oladayo Oyedele Judd is 1578928180 and holds a License No. 2291758 (MA). The current practice location address for Oladayo Oyedele Judd is 130 West Kingsbridge Road, Rehab Medicine, Bronx, NY 10468-1046 and can be reached out via phone at 718-584-9000.

Provider Profile Details

NPI Number
1578928180
Provider Name
Oladayo Oyedele Judd
Provider Entity Type
Individual
Gender
Female
Address
130 West Kingsbridge Road, Rehab Medicine, Bronx, NY 10468-1046
Phone Number
718-584-9000
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Other Names
Oladayo Oyedele (Former Name)
Provider Enumeration Date
December 24, 2015
Last Update Date
November 6, 2020
Certification Date
November 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 West Kingsbridge Road
Rehab Medicine
Bronx, NY 10468-1046
City
Bronx
Zip
10468-1046
Phone Number
718-584-9000
Bronx, NY 10468Get directions →

Provider Business Mailing Address Details

Address
321 W 24TH St Apt 9A
New York, NY 10011-1551
City
New York
State
NY
Zip
10011-1551
Phone Number
617-512-2099

License Information

License Number (1)
2291758
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (2)
431078
License State (2)
NY
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Oladayo O Judd?

The NPI number of Oladayo O Judd is 1578928180. It was assigned on December 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Oladayo O Judd?

Oladayo O Judd is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 2291758.

Where does Oladayo O Judd practice?

The practice location is 130 West Kingsbridge Road, Rehab Medicine, Bronx, NY 10468-1046. The office can be reached at 718-584-9000 (phone).

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 1578928180 directly on the NPPES registry website.

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