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O.B. ADULT HEALTH NURSE PRACTITIONER SERVICES PC
NPI 1164933487
Clinic/Center in Staten Island, NY

Active since October 13, 2017
209 BROAD ST, STATEN ISLAND, NY 10304(917) 374-9180(718) 448-7263 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2018, Oct 13, 2017 (2 updates tracked since 2017).

About O.b. Adult Health Nurse Practitioner Services Pc NPPES

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

O.B. ADULT HEALTH NURSE PRACTITIONER SERVICES PC (NPI 1164933487) is a healthcare organization registered as a clinic/center in Staten Island, New York and active in the NPI registry since October 2017. The organization lists Olasunkanmi Bhadmus, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1164933487
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameO.B. ADULT HEALTH NURSE PRACTITIONER SERVICES PC
Location Address209 BROAD STStaten Island, NY 10304-2105
Mailing Address224 Osgood AveStaten Island, NY 10304-3607 · Fax (718) 448-7263
Phone(917) 374-9180
Fax(718) 448-7263
Organization SubpartNo
Authorized OfficialOlasunkanmi BhadmusAssistant Director · (917) 374-9180
Enumeration DateOctober 13, 2017
Last NPPES UpdateNovember 2, 20182 updates tracked since enumeration
✔ NPI 1164933487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · F307489
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F307489 (NY)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 573342 (NY)
209 BROAD ST, Staten Island, NY 10304
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

O.b. Adult Health Nurse Practitioner Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to O.B. Adult Health Nurse Practitioner Services PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Muftau Bello, NP
Nurse Practitioner
NPI 1932509767
14 SLOSSON TER
Staten Island, NY 10301
(718) 273-8409
✔ PECOS✔ Accepts Medicare1.1 mi
Olasunkanmi Bhadmus
Nurse Practitioner
NPI 1417263328
506 6TH ST
Brooklyn, NY 11215
(718) 780-3767
✔ PECOS✔ Accepts Medicare6.2 mi
Marlene Charles, M.D.
Psychiatry
NPI 1629011333
451 CLARKSON AVE KINGS COUNTY HOSPITAL
Brooklyn, NY 11203
(718) 245-5052
✔ PECOS✔ Accepts Medicare7.5 mi
Richard Friedlander, M.D.
Cardiovascular Disease (Cardiology)
NPI 1528054137
11115 QUEENS BLVD 2ND FLOOR
Forest Hills, NY 11375
(718) 268-3333
✔ PECOS✔ Accepts Medicare14 mi
Panagiotis Zenetos, M.D.
Pain Management
NPI 1548200967
21633 27TH AVE
Bayside, NY 11360
(718) 224-9094
✔ PECOS20 mi

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

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 O.B. Adult Health Nurse Practitioner Services PC's NPI number?

The NPI number for O.B. Adult Health Nurse Practitioner Services PC is 1164933487. It was assigned to this organization in the NPPES registry on October 13, 2017.

Where is O.B. Adult Health Nurse Practitioner Services PC located?

O.B. Adult Health Nurse Practitioner Services PC is located at 209 Broad St, Staten Island, NY 10304. The listed phone number is (917) 374-9180.

What is O.B. Adult Health Nurse Practitioner Services PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is O.B. Adult Health Nurse Practitioner Services PC enrolled in Medicare?

Yes. O.B. Adult Health Nurse Practitioner Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through O.B. Adult Health Nurse Practitioner Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to O.B. Adult Health Nurse Practitioner Services PC, in Cardiovascular Disease (Cardiology), Nurse Practitioner, Pain Management and Psychiatry. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for O.B. Adult Health Nurse Practitioner Services PC was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.