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

Mr. Israel Olusegun Fashusi, RN

Individual provider Registered Nurse · NPI 1043580707

Mr. Israel Olusegun Fashusi, RN is a Registered Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
6
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

10552 Flatlands 8th St
Brooklyn, NY 11236-4622
Phone: (917) 916-7769
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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 563386 (NY)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 563386 (NY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 563386 (NY)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 563386 (NY)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 563386 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 563386 (NY)

Record details

NPI number1043580707
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 11, 2012
Last updated in NPPESJanuary 11, 2012

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