Omotayo Fasan
NPI 1912852518 · Student in an Organized Health Care Education/Training Program · Boston, MA
Omotayo Fasan is a Student in an Organized Health Care Education/Training Program provider in Boston, MA (NPI 1912852518).
Provider details
- NPI number
- 1912852518
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1353 Dorchester AveDorchester, MA 02122-2932Phone: (617) 288-3230
Registry dates
- Enumerated
- 2026-02-28
- Last updated
- 2026-02-28
- Certified
- 2026-02-28
Frequently asked questions
- What is Omotayo Fasan's NPI number?
- Omotayo Fasan's National Provider Identifier (NPI) is 1912852518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Omotayo Fasan's specialty?
- Omotayo Fasan is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Omotayo Fasan located?
- Omotayo Fasan's practice location on file with NPPES is 72 E Concord St, Boston, MA 02118-2642.
- What is Omotayo Fasan's phone number?
- The practice phone number listed in the NPPES registry for Omotayo Fasan is (617) 358-7477.
- Is Omotayo Fasan's NPI active?
- Yes — Omotayo Fasan's NPI (1912852518) is active in the NPPES registry as of the last update on 2026-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.