Individual provider Active NPI

Jumoke O Bolaji

  • Registered Nurse
  • Berea, OH
National Provider Identifier
1063325223
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
544405 Issued in OH
Practice address
255 Front St
Berea, OH 44017-1943
Phone
(440) 243-4000
Fax
(440) 234-0819
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95409696 CA
Registered Nurse 163W00000X 544405 OH Primary

Addresses

Primary practice location

255 Front St
Berea, OH 44017-1943

Mailing address

7212 Boulder Wood Dr
Broadview Heights, OH 44147-2267
Phone (614) 316-3881

Other names 1

  • Jumoke Omolayo Akindoju Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1063325223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 BOULDER WOOD DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472267",
            "telephone_number": "614-316-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171943",
            "telephone_number": "440-243-4000",
            "fax_number": "440-234-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAJI",
        "first_name": "JUMOKE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95409696",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "544405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUMOKE",
            "last_name": "AKINDOJU",
            "middle_name": "OMOLAYO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.