Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OMOTARA JOAN ADEWALE MSN, NP-C, FNP-BC
NPI 1366985251
Nurse Practitioner - Family in Staten Island, NY

Q: What is Omotara Adewale's NPI number?

The NPI number for Omotara Adewale is 1366985251. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Q: What is Omotara Adewale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Omotara Adewale was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.

Active since November 23, 2016PECOS Enrolled

260 CHRISTOPHER LN STE 201, STATEN ISLAND, NY 10314(929) 367-0510(929) 367-0511 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Mar 3, 2018, Nov 23, 2016 (3 updates tracked since 2016).

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About Omotara Joan Adewale Msn, Np-c, Fnp-bc NPPES

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

OMOTARA JOAN ADEWALE MSN, NP-C, FNP-BC (NPI 1366985251) is an individual family provider in Staten Island, New York, licensed in New York (F341251-1) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1366985251

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameOMOTARA JOAN ADEWALECredential: MSN, NP-C, FNP-BC

Location Address260 CHRISTOPHER LN STE 201Staten Island, NY 10314-1650

Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-2000

Phone(929) 367-0510

Fax(929) 367-0511

Sole ProprietorYes

Enumeration DateNovember 23, 2016

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1366985251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F341251-1

260 CHRISTOPHER LN STE 201, Staten Island, NY 10314

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Secondary Practice Location 1

Location 11275 York AveNew York, NY 10065-6007 · Phone (646) 465-4656

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omotara Joan Adewale Msn, Np-c, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10314 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 2

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

URBANE CARE NP, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC.

Clinic/Center (Primary Care)

260 CHRISTOPHER LN STE 201
STATEN ISLAND, NY 10314

Richmond County (929) 367-0510

MS. ANITA BASSEY AGPCNP-BC

Nurse Practitioner (Adult Health)

260 CHRISTOPHER LN STE 201
STATEN ISLAND, NY 10314

Richmond County (929) 367-0510

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 Omotara Adewale's NPI number?

The NPI number for Omotara Adewale is 1366985251. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Omotara Adewale located?

Omotara Adewale practices at 260 Christopher Ln Ste 201, Staten Island, NY 10314. The listed phone number is (929) 367-0510.

What is Omotara Adewale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Omotara Adewale enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Omotara Adewale was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.