Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Modupe Mojisola Olisa, RN

Individual provider Registered Nurse · NPI 1215496732

Modupe Mojisola Olisa, RN is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1477 Hylan Blvd
Staten Island, NY 10305-1906
Phone: (718) 979-6900
Fax: (718) 979-6940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 460861 (NY)

Record details

NPI number1215496732
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 14, 2019
Last updated in NPPESMarch 14, 2019
Mailing address322 Davis Ave, Staten Island, NY 10310-1548

Other providers in Staten Island