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

Modupe Tijani

Individual provider Licensed Practical Nurse · NPI 1093189029

Modupe Tijani is a Licensed Practical Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

345 Van Name Ave
Staten Island, NY 10303-2526
Phone: (718) 815-0906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 300406-1 (NY)

Record details

NPI number1093189029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2015
Last updated in NPPESNovember 13, 2015

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