Individual provider Active NPI

Omotara Joan Adewale, MSN, NP-C, FNP-BC

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1366985251
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341251-1 Issued in NY
Practice address
260 Christopher LN Ste 201
Staten Island, NY 10314-1650
Phone
(929) 367-0510
Fax
(929) 367-0511
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341251-1 NY Primary

Addresses

Primary practice location

260 Christopher LN Ste 201
Staten Island, NY 10314-1650

Mailing address

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Other practice location 1

1275 York Ave
New York, NY 10065-6007
Phone (646) 465-4656

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524002181 NY Practitioner - Nurse Practitioner 4981969813 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
341251NYMDVascular Neurology Physician
F341251-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince May 1, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince May 1, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Urbane Care NP, Nurse Practitioner in Family Health, PLLC. CurrentSince Feb 1, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 1, 2018 Accepting new patients
Integrative Womens Care NJ PC Past Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

260 Christopher Ln
Ste 201
Staten Island, NY 10314
Phone (929) 367-0510

420 South Ave
Ste 125
Staten Island, NY 10303
Phone (929) 367-0510

Interoperability endpoints

  • Direct secure messaging: oadewale40555@mskcc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1366985251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHRISTOPHER LN STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141650",
            "telephone_number": "929-367-0510",
            "fax_number": "929-367-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656007",
            "country_code": "US",
            "telephone_number": "646-465-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEWALE",
        "first_name": "OMOTARA",
        "middle_name": "JOAN",
        "credential": "MSN, NP-C, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341251-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.