MODUPE TIJANI
NPI 1093189029
Licensed Practical Nurse in Staten Island, NY

Q: What is Modupe Tijani's NPI number?

The NPI number for Modupe Tijani is 1093189029. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Q: What is Modupe Tijani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Modupe Tijani was last updated on November 13, 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.

Active since November 13, 2015

345 VAN NAME AVE, STATEN ISLAND, NY 10303(718) 815-0906 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Modupe Tijani NPPES

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

MODUPE TIJANI (NPI 1093189029) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (300406-1) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1093189029

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMODUPE TIJANI

Location Address345 VAN NAME AVEStaten Island, NY 10303-2526

Mailing Address345 Van Name AveStaten Island, NY 10303-2526 · (718) 815-0906

Phone(718) 815-0906

Sole ProprietorYes

Enumeration DateNovember 13, 2015

✔ NPI 1093189029 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 · 300406-1

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.

345 VAN NAME AVE, 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 Modupe Tijani's NPI number?

The NPI number for Modupe Tijani is 1093189029. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Where is Modupe Tijani located?

Modupe Tijani practices at 345 Van Name Ave, Staten Island, NY 10303. The listed phone number is (718) 815-0906.

What is Modupe Tijani'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 Modupe Tijani was last updated on November 13, 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.