Adelagun Oluwasesan Adelaja, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403404 Issued in NY

Practice address

6259 De Costa Ave FL 1
Arverne, NY 11692-1335

Phone

(347) 824-8447

NPI assigned

Aug 29, 2021

Last updated

Aug 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Institute for Community Living , Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1558494930
  Medicare reassignment NPD

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1114694858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 DE COSTA AVE FL 1",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921335",
            "telephone_number": "347-824-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 DE COSTA AVE FL 1",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921335",
            "telephone_number": "347-824-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELAJA",
        "first_name": "ADELAGUN",
        "middle_name": "OLUWASESAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 0NE Stop Speech and Language Therapeutic Services
• Chrisemely Abreu
• Pablo Abreu, LCSW
• Paul James Abreu, CRPA, CARC. AND CPS
• Adesuwa Aemota, RN
• Gracelyn Aikhoje
• Funmilola Adenike Akerele, FNP
• MD Abdul Kabir Akhand, M.D.
• Omotayo Mary Alawode

• Psychiatric/Mental Health Nurse Practitioner in Arverne, NY
• Providers in Arverne, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.