Individual provider Active NPI

Adrial A Lobelo, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1467761189
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401353 Issued in NY
Practice address
777 Seaview Ave
Staten Island, NY 10305-3409
Phone
(646) 535-1276
NPI assigned
Sep 29, 2010
Last updated
May 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401353 NY Primary
Registered Nurse 163W00000X 582529 NY

Addresses

Primary practice location

777 Seaview Ave
Staten Island, NY 10305-3409

Mailing address

8801 5TH Ave Unit 90613
Brooklyn, NY 11209-5966
Phone (646) 535-1276

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
I20160331000633 NY Practitioner - Nurse Practitioner 4284931536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11 Wilbur Rd
Thiells, NY 10984-7555
Phone (845) 947-6219

220 White Plains Rd
Tarrytown, NY 10591-5837
Phone (914) 332-8950

66 Sinpatch Rd
Wassaic, NY 12592-2432
Phone (845) 877-3971

7 Wilbur Rd
Thiells, NY 10984-7555
Phone (845) 947-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
582529NYMDRegistered Nurse
401353NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health Current Accepting new patients
State of New York Comptrollers Office CurrentSince Jul 1, 2024 Accepting new patients
State of New York Comptrollers Office CurrentSince Jul 1, 2024 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

777 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-2300

Organizations & group practices 3

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1467761189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 5TH AVE UNIT 90613",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095966",
            "telephone_number": "646-535-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "646-535-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBELO",
        "first_name": "ADRIAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401353",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "582529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.