FUNMILOLA AZEEZAT ADEDEJI NURSE PRACTITIONER
NPI 1710232798
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Q: What is Funmilola Adedeji's NPI number?

The NPI number for Funmilola Adedeji is 1710232798. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Q: What is Funmilola Adedeji's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Funmilola Adedeji was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 17, 2012PECOS Enrolled

85 LOCKMAN AV, STATEN ISLAND, NY 10303(347) 666-0278 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Funmilola Azeezat Adedeji Nurse Practitioner NPPES

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

FUNMILOLA AZEEZAT ADEDEJI NURSE PRACTITIONER (NPI 1710232798) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (406728) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710232798

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameFUNMILOLA AZEEZAT ADEDEJICredential: NURSE PRACTITIONER

Location Address85 LOCKMAN AVStaten Island, NY 10303

Mailing Address52 Van Name AveStaten Island, NY 10303-2022 · (347) 666-0278

Phone(347) 666-0278

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 17, 2012

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1710232798 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 · 406728

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 3059521 (NY)

85 LOCKMAN AV, Staten Island, NY 10303

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Funmilola Azeezat Adedeji Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527565217

PECOS Enrollment IDI20251008003063

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 10303 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.

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 Funmilola Adedeji's NPI number?

The NPI number for Funmilola Adedeji is 1710232798. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Funmilola Adedeji located?

Funmilola Adedeji practices at 85 Lockman Av, Staten Island, NY 10303. The listed phone number is (347) 666-0278.

What is Funmilola Adedeji's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Funmilola Adedeji enrolled in Medicare?

Yes. Funmilola Adedeji is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Funmilola Adedeji was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.