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BOLAJI ISIJOLA
NPI 1629583216
Licensed Practical Nurse in Queens Village, NY

Active since December 05, 2017
11042 207TH ST, QUEENS VILLAGE, NY 11429(917) 627-0760 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolaji Isijola NPPES

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

BOLAJI ISIJOLA (NPI 1629583216) is an individual licensed practical nurse in Queens Village, New York, licensed in New York (330801) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1629583216
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBOLAJI ISIJOLA
Location Address11042 207TH STQueens Village, NY 11429-1706
Mailing Address11042 207th StQueens Village, NY 11429-1706 · (917) 627-0760
Phone(917) 627-0760
Sole ProprietorNo
Enumeration DateDecember 5, 2017
✔ NPI 1629583216 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 · 330801
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.
11042 207TH ST, Queens Village, NY 11429
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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 Bolaji Isijola's NPI number?

The NPI number for Bolaji Isijola is 1629583216. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Bolaji Isijola located?

Bolaji Isijola practices at 11042 207th St, Queens Village, NY 11429. The listed phone number is (917) 627-0760.

What is Bolaji Isijola'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 Bolaji Isijola was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.