ADETOUN FAJOLU
NPI 1205550027
Nurse Practitioner - Psychiatric/Mental Health in West Babylon, NY

Active since September 27, 2022PECOS EnrolledAccepts Medicare Assignment
1 FARMINGDALE ROAD, WEST BABYLON, NY 11704(631) 669-5355 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Sep 27, 2022 (2 updates tracked since 2022).

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

NPI1205550027
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameADETOUN FAJOLU
Location Address1 FARMINGDALE ROADWest Babylon, NY 11704
Mailing Address62 Maryland AveFreeport, NY 11520-2030 · (516) 503-0947
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 27, 2022
Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1205550027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F405956-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 699291-01 (NY)
1 FARMINGDALE ROAD, West Babylon, NY 11704

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7214464908
PECOS Enrollment IDI20241219000122
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.

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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Nurse Practitioner (Psychiatric/Mental Health)
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Community Health Worker
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Nurse Practitioner (Psychiatric/Mental Health)
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Social Worker
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Community/Behavioral Health
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Social Worker
1 FARMINGDALE ROAD
FARMINGDALE, NY 11704
Social Worker (Clinical)
1 FARMINGDALE ROAD
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.

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 18 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.