Healthcare Provider Details

I. General information

NPI: 1972816635
Provider Name (Legal Business Name): TOYIN OLOWOYO APN-FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CLINTON ST
PATERSON NJ
07522-1775
US

IV. Provider business mailing address

648 SPRING VALLEY RD
MAYWOOD NJ
07607-1421
US

V. Phone/Fax

Practice location:
  • Phone: 973-790-6594
  • Fax: 973-389-2183
Mailing address:
  • Phone: 516-244-7298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14982600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: