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SAMUEL OBISANYA
NPI 1063866002
Licensed Vocational Nurse in Staten Island, NY

Active since April 15, 2016
69 BIRCH RD APT 1, STATEN ISLAND, NY 10303(347) 994-6911 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Obisanya NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL OBISANYA (NPI 1063866002) is an individual licensed vocational nurse in Staten Island, New York, licensed in New York (310996) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1063866002
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameSAMUEL OBISANYA
Location Address69 BIRCH RD APT 1Staten Island, NY 10303-1718
Mailing Address69 Birch Rd Apt 1Staten Island, NY 10303-1718 · (347) 994-6911
Phone(347) 994-6911
Sole ProprietorYes
Enumeration DateApril 15, 2016
✔ NPI 1063866002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in NY · 310996
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
69 BIRCH RD APT 1, Staten Island, NY 10303
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Obisanya's NPI number?

The NPI number for Samuel Obisanya is 1063866002. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Samuel Obisanya located?

Samuel Obisanya practices at 69 Birch Rd Apt 1, Staten Island, NY 10303. The listed phone number is (347) 994-6911.

What is Samuel Obisanya's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Samuel Obisanya was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.