MARY BOLADALEJOHNSON
NPI 1437615549
Licensed Practical Nurse in Springfield Gardens, NY

Active since February 13, 2019
14711 223RD ST, SPRINGFIELD GARDENS, NY 11413(917) 935-3719 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Boladalejohnson NPPES

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

MARY BOLADALEJOHNSON (NPI 1437615549) is an individual licensed practical nurse in Springfield Gardens, New York, licensed in New York (333484) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1437615549
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY BOLADALEJOHNSON
Location Address14711 223RD STSpringfield Gardens, NY 11413-4143
Mailing Address14711 223rd StSpringfield Gardens, NY 11413-4143 · (917) 935-3719
Sole ProprietorYes
Enumeration DateFebruary 13, 2019
NPI 1437615549 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 · 333484
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.
14711 223RD ST, Springfield Gardens, NY 11413

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 Mary Boladalejohnson's NPI number?

The NPI number for Mary Boladalejohnson is 1437615549. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Mary Boladalejohnson located?

Mary Boladalejohnson practices at 14711 223rd St, Springfield Gardens, NY 11413. The listed phone number is (917) 935-3719.

What is Mary Boladalejohnson'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 Mary Boladalejohnson was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.