Individual provider Active NPI

Adefunke F Omolade, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Valhalla, NY
National Provider Identifier
1114103470
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ15495800 Issued in NJ
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 493-7000
Fax
(914) 493-8439
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ15495800 NJ Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other names 1

  • Adefunke F Gbadebo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090501000336 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961550801 Reassigns benefits to 5 organizations
I20260514003046 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961550801 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

601 Elmwood Ave Box
Rochester, NY 14642-0001

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 9, 2023 Accepting new patients
U of R Anesthesiology Group CurrentSince Dec 1, 2025 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Aug 19, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Aug 9, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 1, 2015 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jan 9, 2011 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1245 Colonial Rd
Hewlett, NY 11557
Phone (631) 295-2100

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1114103470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000",
            "fax_number": "914-493-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000",
            "fax_number": "914-493-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOLADE",
        "first_name": "ADEFUNKE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "RN, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ15495800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEFUNKE",
            "last_name": "GBADEBO",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.