OLAJUMOKE FASAN
NPI 1154771822
Licensed Practical Nurse in Jamaica, NY

Q: What is Olajumoke Fasan's NPI number?

The NPI number for Olajumoke Fasan is 1154771822. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Olajumoke Fasan'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 Olajumoke Fasan was last updated on June 14, 2016. 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 June 14, 2016

12011 144TH ST, JAMAICA, NY 11436(718) 551-6838 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Olajumoke Fasan NPPES

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

OLAJUMOKE FASAN (NPI 1154771822) is an individual licensed practical nurse in Jamaica, New York, licensed in New York (276332) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1154771822

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameOLAJUMOKE FASAN

Location Address12011 144TH STJamaica, NY 11436-1508

Mailing Address12011 144th StJamaica, NY 11436-1508

Phone(718) 551-6838

Sole ProprietorNo

Enumeration DateJune 14, 2016

✔ NPI 1154771822 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 · 276332

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.

12011 144TH ST, Jamaica, NY 11436

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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 Olajumoke Fasan's NPI number?

The NPI number for Olajumoke Fasan is 1154771822. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Olajumoke Fasan located?

Olajumoke Fasan practices at 12011 144th St, Jamaica, NY 11436. The listed phone number is (718) 551-6838.

What is Olajumoke Fasan'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 Olajumoke Fasan was last updated on June 14, 2016. 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.