MARIETTA OMO-IKIRODAH LPN
NPI 1003154733
Licensed Practical Nurse in Bronx, NY

Active since January 31, 2013
2054 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marietta Omo-ikirodah Lpn NPPES

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

MARIETTA OMO-IKIRODAH LPN (NPI 1003154733) is an individual licensed practical nurse in Bronx, New York, licensed in New York (313237) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1003154733
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARIETTA OMO-IKIRODAHCredential: LPN
Location Address2054 TILLOTSON AVEBronx, NY 10475-1560
Mailing Address2054 Tillotson AveBronx, NY 10475-1560 · (718) 671-2100
Sole ProprietorYes
Enumeration DateJanuary 31, 2013
NPI 1003154733 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 · 313237
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.
2054 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
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Nurse Practitioner (Family)
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 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 Marietta Omo-ikirodah's NPI number?

The NPI number for Marietta Omo-ikirodah is 1003154733. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Where is Marietta Omo-ikirodah located?

Marietta Omo-ikirodah practices at 2054 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.

What is Marietta Omo-ikirodah'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 Marietta Omo-ikirodah was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.