MODUPE ADEWALE LPN
NPI 1770819583
Licensed Practical Nurse in Staten Island, NY

Q: What is Modupe Adewale's NPI number?

The NPI number for Modupe Adewale is 1770819583. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is Modupe Adewale'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 Adewale was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 October 29, 2009

1477 HYLAN BLVD, STATEN ISLAND, NY 10305(718) 979-6900 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Modupe Adewale Lpn NPPES

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

MODUPE ADEWALE LPN (NPI 1770819583) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (288757) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1770819583

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMODUPE ADEWALECredential: LPN

Location Address1477 HYLAN BLVDStaten Island, NY 10305-1906

Mailing Address33 Pond WayStaten Island, NY 10303-1600 · (718) 688-1035

Phone(718) 979-6900

Sole ProprietorYes

Enumeration DateOctober 29, 2009

✔ NPI 1770819583 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 · 288757

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.

1477 HYLAN BLVD, Staten Island, NY 10305

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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.

JENNIFER CALCAGNO LPN

Licensed Practical Nurse