Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daccu Bamidele Sonubiishaq

Individual provider Licensed Practical Nurse · NPI 1255055356

Daccu Bamidele Sonubiishaq is a Licensed Practical Nurse in East Orange, New Jersey. Practices as a sole proprietor. Licensed in New York and Tennessee.

Licensed in
NY, TN
In the registry since
2022
Specialties on file
3

Practice location Address checks out

99 Lenox Ave Fl 1
East Orange, NJ 07018-3102
Phone: (309) 966-5184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 953594-01 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 97121 (TN)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1255055356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2022
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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