Ajisola Olusola Ige

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322059-1 Issued in NY

Practice address

383 E 162ND St
10A
Bronx, NY 10451-4595

Phone

(347) 854-5822

NPI assigned

Jun 22, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1982086344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 E 162ND ST",
            "address_2": "10A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514595",
            "telephone_number": "347-854-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 E 162ND ST",
            "address_2": "10A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514595",
            "telephone_number": "347-854-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUSOLA IGE",
        "first_name": "AJISOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322059-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safiiyu Olufowobi
• Victoria Adepero Olukunle
• Ngozi Olumese, RN
• Olusegun O Olumuyide, LPN
• Abimbola Tawakalitu Olusoji, MSC SPECIAL ED.
• Adekemi Oluyide
• Lidia Sabrina Olveira
• Insoo Om, PA
• Nam Hee Om, M.D.
• Oma Scholastic LLC (Oma Learning Academy)

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.