Ayodele O Adasonla
Licensed Practical Nurse in Staten Island, NY. Individual provider (NPI-1).
NPI number1861696049
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861696049
- Entity type
- Individual (NPI-1)
- Name
- Ayodele O Adasonla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 278073-1 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | pn275456 | PA |
Practice location
30 Kimberly LnApt# 16a
Staten Island, NY 10304-3654
Phone 718-727-1170
Mailing address
30 Kimberly LnApt# 16a
Staten Island, NY 10304-3654
Phone 718-727-1170
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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