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ADEWALE ADEFOWOJU MSN, APN-BC
NPI 1114153186
Nurse Practitioner in Union, NJ

Active since June 04, 2009PECOS Enrolled
1379 BROOKFALL AVE, UNION, NJ 07083(908) 693-5036 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adewale Adefowoju Msn, Apn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEWALE ADEFOWOJU MSN, APN-BC (NPI 1114153186) is an individual nurse practitioner in Union, New Jersey, licensed in New Jersey (26NJ00196200) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114153186
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameADEWALE ADEFOWOJUCredential: MSN, APN-BC
Location Address1379 BROOKFALL AVEUnion, NJ 07083-7013
Mailing Address1379 Brookfall AveUnion, NJ 07083-7013 · (908) 693-5036
Phone(908) 693-5036
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 4, 2009
Last NPPES UpdateApril 20, 2011
✔ NPI 1114153186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00196200
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1379 BROOKFALL AVE, Union, NJ 07083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adewale Adefowoju Msn, Apn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850443615
PECOS Enrollment IDI20090709000286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Adewale Adefowoju reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Medical Consult
2.4 mi
Psychiatric/Mental Health
40 UNION AVE, 3RD FL. STE 301
Irvington, NJ 07111
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1104370915 (973) 996-2170
Mount Carmel Guild Behavioral Health System
3.5 mi
Mental Health (Including Community Mental Health Center)
47 MILLER ST
Newark, NJ 07114
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Mount Carmel Guild Behavioral Health
  • 17 clinicians in this Medicare group
NPI 1174854749 (973) 639-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
194 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
187 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adewale Adefowoju's NPI number?

The NPI number for Adewale Adefowoju is 1114153186. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Where is Adewale Adefowoju located?

Adewale Adefowoju practices at 1379 Brookfall Ave, Union, NJ 07083. The listed phone number is (908) 693-5036.

What is Adewale Adefowoju's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Adewale Adefowoju enrolled in Medicare?

Yes. Adewale Adefowoju is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adewale Adefowoju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adewale Adefowoju reassigns Medicare benefits to 2 organizations: Grace Medical Consult (Irvington, NJ) and Mount Carmel Guild Behavioral Health System (Newark, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adewale Adefowoju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adewale Adefowoju was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.