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Samuel Obisanya
NPI 1063866002 · Licensed Vocational Nurse · Staten Island, NY
Samuel Obisanya is a Licensed Vocational Nurse provider in Staten Island, NY (NPI 1063866002).
Provider details
- NPI number
- 1063866002
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 310996 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
69 Birch Rd Apt 1
Staten Island, NY 10303-1718
Phone: (347) 994-6911
Street-level locationGet directions
Mailing address
69 Birch Rd Apt 1
Staten Island, NY 10303-1718
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2016-04-15
Frequently asked questions
- What is Samuel Obisanya's NPI number?
- Samuel Obisanya's National Provider Identifier (NPI) is 1063866002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Obisanya's specialty?
- Samuel Obisanya is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Samuel Obisanya located?
- Samuel Obisanya's practice location on file with NPPES is 69 Birch Rd Apt 1, Staten Island, NY 10303-1718.
- What is Samuel Obisanya's phone number?
- The practice phone number listed in the NPPES registry for Samuel Obisanya is (347) 994-6911.
- Is Samuel Obisanya's NPI active?
- Yes — Samuel Obisanya's NPI (1063866002) is active in the NPPES registry as of the last update on 2016-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.