Active NPIIndividual providerSole proprietor

Abimbola Gbogboade

Registered Nurse in Staten Island, New York

NPI Number1902179674
Practice location
1052 Post Ave, Staten Island, NY 10302-1838
Fax
—
Last updated
March 10, 2026

Abimbola Gbogboade is a Registered Nurse based in Staten Island, NY. Abimbola Gbogboade practices in Staten Island, NY. The NPI Number for Abimbola Gbogboade is 1902179674 and holds a License No. 307963 (NY). The current practice location address for Abimbola Gbogboade is 1052 Post Ave, Staten Island, NY 10302-1838 and can be reached out via phone at 347-824-4777.

Provider Profile Details

NPI Number
1902179674
Provider Name
Abimbola Gbogboade
Provider Entity Type
Individual
Gender
Female
Address
1052 Post Ave, Staten Island, NY 10302-1838
Phone Number
347-824-4777
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 10, 2012
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1052 Post Ave
Staten Island, NY 10302-1838
Zip
10302-1838
Phone Number
347-824-4777
Staten Island, NY 10302Get directions →

Provider Business Mailing Address Details

Address
1052 Post Ave
Staten Island, NY 10302-1838
City
Staten Island
State
NY
Zip
10302-1838
Phone Number
347-824-4777

License Information

License Number (1)
307963
License State (1)
NY
Taxonomy (1)
Licensed Practical Nurse · 164W00000X
License Number (2)
N25562-01
License State (2)
NY
Taxonomy (2)
Registered Nurse · 163W00000X · 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 Abimbola Gbogboade?

The NPI number of Abimbola Gbogboade is 1902179674. It was assigned on February 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Abimbola Gbogboade?

Abimbola Gbogboade is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 307963.

Where does Abimbola Gbogboade practice?

The practice location is 1052 Post Ave, Staten Island, NY 10302-1838. The office can be reached at 347-824-4777 (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 1902179674 directly on the NPPES registry website.

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