OTASERE IZEVBUWA
NPI 1659743409
Licensed Practical Nurse in Bronx, NY

Active since October 20, 2015
2052 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Otasere Izevbuwa NPPES

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

OTASERE IZEVBUWA (NPI 1659743409) is an individual licensed practical nurse in Bronx, New York, licensed in New York (321731) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1659743409
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameOTASERE IZEVBUWA
Location Address2052 TILLOTSON AVEBronx, NY 10475-1560
Mailing Address2052 Tillotson AveBronx, NY 10475-1560 · (718) 671-2100
Sole ProprietorYes
Enumeration DateOctober 20, 2015
NPI 1659743409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 321731
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2052 TILLOTSON AVE, Bronx, NY 10475

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2052 TILLOTSON AVE, SUITE 101
BRONX, NY 10475
Registered Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2052 TILLOTSON AVE
BRONX, NY 10475

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 Otasere Izevbuwa's NPI number?

The NPI number for Otasere Izevbuwa is 1659743409. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Otasere Izevbuwa located?

Otasere Izevbuwa practices at 2052 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.

What is Otasere Izevbuwa's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Otasere Izevbuwa was last updated on October 20, 2015. 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.