Active NPI
Adeyemo Dania
- Psychiatric/Mental Health Nurse Practitioner
- Saint Albans, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F405779
- Practice address
- 19115 115TH Ave
Saint Albans, NY 11412-2727 - Phone
- (929) 309-3374
- NPI assigned
- Apr 14, 2017
- Last updated
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F405779 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 320346 | NY |
Addresses
Primary practice location
19115 115TH Ave
Saint Albans, NY 11412-2727
Mailing address
19115 115TH Ave
Saint Albans, NY 11412-2727
Phone (929) 309-3374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10819 Rockaway Blvd
South Ozone Park, NY 11420-1034
463 Fashion Ave
FL 18
New York, NY 10018-7595
497 Rockaway Ave
Valley Stream, NY 11581-1909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320346 | NY | MD | Licensed Practical Nurse |
| F405779 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Jewish Board of Family and Children's Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Jewish Board of Family and Children's Services, Inc | Past | Accepting new patients |
Locations
3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
-
dba The Jewish Board
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1821273459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1083148225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19115 115TH AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122727",
"telephone_number": "929-309-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19115 115TH AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122727",
"telephone_number": "929-309-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIA",
"first_name": "ADEYEMO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-14",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F405779",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "320346",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.