Provider Demographics
NPI:1740797950
Name:TIJANI, ADEKUNLE NAJEEM
Entity Type:Individual
Prefix:
First Name:ADEKUNLE
Middle Name:NAJEEM
Last Name:TIJANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 S MUNN AVE APT 5E
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-3627
Mailing Address - Country:US
Mailing Address - Phone:862-452-6941
Mailing Address - Fax:
Practice Address - Street 1:56 S MUNN AVE APT 5E
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3627
Practice Address - Country:US
Practice Address - Phone:862-452-6941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY738818163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse