BOLAJI ISIJOLA NPI 1629583216

NPI Information

  • NPI: 1629583216
  • Provider Name: BOLAJI ISIJOLA
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 11042 207TH ST
    QUEENS VILLAGE, NY
    ZIP 11429
  • Phone: (917) 627-0760

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NPI Details

Bolaji Isijola is a licensed practical nurse in Queens Village, NY. The provider is 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. Bolaji Isijola NPI is 1629583216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11042 207TH ST
QUEENS VILLAGE, NY
ZIP 11429-706
Phone: (917) 627-0760

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse330801NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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