TEMILOLA AJIBULU
NPI 1659147114
Nurse Practitioner - Family in New York, NY

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment
1619 BROADWAY, NEW YORK, NY 10019(646) 416-5752 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2026, Aug 19, 2024, Feb 7, 2024 (3 updates tracked since 2024).

About Temilola Ajibulu NPPES

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

TEMILOLA AJIBULU (NPI 1659147114) is an individual family provider in New York, New York, licensed in New York (352483) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659147114
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTEMILOLA AJIBULU
Location Address1619 BROADWAYNew York, NY 10019-7412
Mailing Address1619 BroadwayNew York, NY 10019-7412
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 27, 2023
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1659147114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 352483
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 407109 (NY)
1619 BROADWAY, New York, NY 10019

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

Temilola Ajibulu 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 ID6305379892
PECOS Enrollment IDI20241022004624
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 10019 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 11

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

Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Pharmacy
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019
Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Nurse Practitioner (Family)
1619 BROADWAY
NEW YORK, NY 10019
Pharmacist
1619 BROADWAY
NEW YORK, NY 10019

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 Temilola Ajibulu's NPI number?

The NPI number for Temilola Ajibulu is 1659147114. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Temilola Ajibulu located?

Temilola Ajibulu practices at 1619 Broadway, New York, NY 10019. The listed phone number is (646) 416-5752.

What is Temilola Ajibulu's specialty?

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

Is Temilola Ajibulu enrolled in Medicare?

Yes. Temilola Ajibulu 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 Temilola Ajibulu was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.