Tejumola Ifatusin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

743030 Issued in NY

Practice address

250 W Houston St
New York, NY 10014-4804

Phone

(212) 675-7926

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1497527832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 JOHN ST APT 2709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385623",
            "telephone_number": "347-962-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144804",
            "telephone_number": "212-675-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFATUSIN",
        "first_name": "TEJUMOLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "743030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iefa LLC
• Gina Ienco
• Jeanine Ierardi
• Jennifer Ann Ierardi, NP
• Katherine Ierardi, NP
• Ifdw Health Services Inc.
• Alicia Ifill
• Chloe Ifrah, PH.D
• Claire Leah Ifrah, PA
• Beniamin Ifraimov, DDS

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.