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

MS. Mary Okan Ajibade, RN

Individual provider Registered Nurse · NPI 1104964212

MS. Mary Okan Ajibade, 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
2007
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

81 Park Hill Cir
Staten Island, NY 10304-3634
Phone: (917) 862-5215
Fax: (718) 347-4643
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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 280753 (NY)

Record details

NPI number1104964212
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 9, 2007

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