Provider Demographics
NPI:1902075039
Name:OLAPINSIN, THEOPHILUS Y (RN)
Entity Type:Individual
Prefix:MR
First Name:THEOPHILUS
Middle Name:Y
Last Name:OLAPINSIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-2507
Mailing Address - Country:US
Mailing Address - Phone:973-466-1300
Mailing Address - Fax:973-465-4217
Practice Address - Street 1:269 OLIVER ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-2507
Practice Address - Country:US
Practice Address - Phone:973-466-1300
Practice Address - Fax:973-465-4217
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR08514400373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist