Individual provider Active NPI

Morenikieji Adetula, NP, RN

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1376804617
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
355416 Issued in NY
Practice address
472 Wyona St
Brooklyn, NY 11207-4842
Phone
(646) 283-7066
NPI assigned
Jun 4, 2012
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 355416 NY Primary
Registered Nurse 163W00000X 785113 NY
Licensed Practical Nurse 164W00000X 298551 NY

Addresses

Primary practice location

472 Wyona St
Brooklyn, NY 11207-4842

Mailing address

472 Wyona St
Brooklyn, NY 11207-4842
Phone (646) 283-7066

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
I20250508001606 NY Practitioner - Nurse Practitioner 8325565773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Medical Practice PLLCGroup PAC ID 5991199804, 25 clinicians

Practice addresses (Care Compare)

564 Niagara St
BLDG 2
Buffalo, NY 14201-1108
Phone (716) 882-0366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
785113NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Mar 5, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 5, 2025 Accepting new patients
Care Medical Practice PLLC Nurse Practitioner CurrentSince Dec 22, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Mar 5, 2025 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

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

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

322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1376804617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 WYONA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074842",
            "telephone_number": "646-283-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 WYONA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074842",
            "telephone_number": "646-283-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETULA",
        "first_name": "MORENIKIEJI",
        "credential": "NP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "355416",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "785113",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "298551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.