IndividualActive
Modupe Olisa, RN
NPI 1215496732 · Registered Nurse · Staten Island, NY
Modupe Olisa, RN is a Registered Nurse provider in Staten Island, NY (NPI 1215496732).
Provider details
- NPI number
- 1215496732
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 460861 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1477 Hylan Blvd
Staten Island, NY 10305-1906
Phone: (718) 979-6900
Fax: (718) 979-6940
Street-level locationGet directions
Mailing address
322 Davis Ave
Staten Island, NY 10310-1548
Registry dates
- Enumerated
- 2019-03-14
- Last updated
- 2019-03-14
Frequently asked questions
- What is Modupe Olisa's NPI number?
- Modupe Olisa's National Provider Identifier (NPI) is 1215496732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Modupe Olisa's specialty?
- Modupe Olisa is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Modupe Olisa located?
- Modupe Olisa's practice location on file with NPPES is 1477 Hylan Blvd, Staten Island, NY 10305-1906.
- What is Modupe Olisa's phone number?
- The practice phone number listed in the NPPES registry for Modupe Olisa is (718) 979-6900.
- Is Modupe Olisa's NPI active?
- Yes — Modupe Olisa's NPI (1215496732) is active in the NPPES registry as of the last update on 2019-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.