MOMODOU JALLOW
NPI 1689125825
Licensed Practical Nurse in Brooklyn, NY

Active since October 24, 2016
630 FLUSHING AVE, 2ND FLOOR, BROOKLYN, NY 11206(718) 828-2666 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Momodou Jallow NPPES

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

MOMODOU JALLOW (NPI 1689125825) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (325158-1) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1689125825
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMOMODOU JALLOW
Location Address630 FLUSHING AVE, 2ND FLOORBrooklyn, NY 11206
Mailing Address2435 Creston Ave Apt A12Bronx, NY 10468-6746 · (347) 859-4421
Sole ProprietorNo
Enumeration DateOctober 24, 2016
NPI 1689125825 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 · 325158-1
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.
630 FLUSHING AVE, Brooklyn, NY 11206

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 (Home Health)
630 FLUSHING AVE, 2ND FLOOR
BROOKLYN, NY 11206
Licensed Practical Nurse
630 FLUSHING AVE
BROOKLYN, NY 11206
Registered Nurse
630 FLUSHING AVE, SECOND FLOOR
BROOKLYN, NY 11206
Registered Nurse
630 FLUSHING AVE
BROOKLYN, NY 11206
Licensed Practical Nurse
630 FLUSHING AVE
BROOKLYN, NY 11206
Licensed Practical Nurse
630 FLUSHING AVE
BROOKLYN, NY 11206
Licensed Practical Nurse
630 FLUSHING AVE
BROOKLYN, NY 11206
Licensed Practical Nurse
630 FLUSHING AVE
BROOKLYN, NY 11206

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 Momodou Jallow's NPI number?

The NPI number for Momodou Jallow is 1689125825. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Momodou Jallow located?

Momodou Jallow practices at 630 Flushing Ave 2nd Floor, Brooklyn, NY 11206. The listed phone number is (718) 828-2666.

What is Momodou Jallow'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 Momodou Jallow was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.