ADETOUN FAJOLU
NPI 1205550027
Nurse Practitioner - Psychiatric/Mental Health in West Babylon, NY
About Adetoun Fajolu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADETOUN FAJOLU (NPI 1205550027) is an individual psychiatric/mental health provider in West Babylon, New York, licensed in New York (F405956-01) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adetoun Fajolu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Adetoun Fajolu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syosset, NY 11791
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Glen Head, NY 11545
- Reassigned Medicare billing, New York enrollment
- 14 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 76 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST BABYLON, NY 11704
WEST BABYLON, NY 11704
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 Adetoun Fajolu's NPI number?
The NPI number for Adetoun Fajolu is 1205550027. It was assigned to this individual provider in the NPPES registry on September 27, 2022.
Where is Adetoun Fajolu located?
Adetoun Fajolu practices at 1 Farmingdale Road, West Babylon, NY 11704. The listed phone number is (631) 669-5355.
What is Adetoun Fajolu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Adetoun Fajolu enrolled in Medicare?
Yes. Adetoun Fajolu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Adetoun Fajolu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adetoun Fajolu reassigns Medicare benefits to 4 organizations: Positive Change Psychiatry PLLC (Syosset, NY), Willow Park Medical Health PC (Glen Head, NY), Abduakhadov Psychiatric Services PLLC (Brooklyn, NY) and Catholic Charities Neighborhood Services, Inc. (Brooklyn, NY). 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 Adetoun Fajolu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adetoun Fajolu accept?
Health plans from Oscar Health list Adetoun Fajolu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Adetoun Fajolu was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Adetoun Fajolu · NPI 1205550027
Psychiatric/Mental Health physician in West Babylon, New York. Individual provider, active in the CMS NPPES registry since September 27, 2022.
## Identity
- **NPI:** 1205550027 (Entity type: Individual)
- **Enumerated:** September 27, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F405956-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 FARMINGDALE ROAD, West Babylon, NY 11704
- **Phone:** (631) 669-5355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Positive Change Psychiatry PLLC (NPI 1265821953, Syosset, NY); Willow Park Medical Health PC (NPI 1063219475, Glen Head, NY); Abduakhadov Psychiatric Services PLLC (NPI 1982591418, Brooklyn, NY); Catholic Charities Neighborhood Services, Inc. (NPI 1548373921, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205550027) · Data from the CMS NPPES public registry.