IndividualActive
Mary Ajibade, RN
NPI 1104964212 · Registered Nurse · Staten Island, NY
Mary Ajibade, RN is a Registered Nurse provider in Staten Island, NY (NPI 1104964212).
Provider details
- NPI number
- 1104964212
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 280753 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
81 Park Hill Cir
Staten Island, NY 10304-3634
Phone: (917) 862-5215
Fax: (718) 347-4643
Street-level locationGet directions
Mailing address
35 Tulip Ave
Floral Park, NY 11002
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2007-07-09
Frequently asked questions
- What is Mary Ajibade's NPI number?
- Mary Ajibade's National Provider Identifier (NPI) is 1104964212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Ajibade's specialty?
- Mary Ajibade is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Mary Ajibade located?
- Mary Ajibade's practice location on file with NPPES is 81 Park Hill Cir, Staten Island, NY 10304-3634.
- What is Mary Ajibade's phone number?
- The practice phone number listed in the NPPES registry for Mary Ajibade is (917) 862-5215.
- Is Mary Ajibade's NPI active?
- Yes — Mary Ajibade's NPI (1104964212) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.