Organization Active NPI

O.a. Adult Health NP P.C.

  • Primary Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1679467435
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
O.A. ADULT HEALTH NP P.C.
Practice address
878 Castleton Ave
Ground Floor
Staten Island, NY 10310-1865
Phone
(718) 218-5666
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Omowunmi O. Abayomi, NPNPI 1790140770
Title
President
Phone
(718) 218-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

878 Castleton Ave
Ground Floor
Staten Island, NY 10310-1865

Mailing address

878 Castleton Ave
Ground Floor
Staten Island, NY 10310-1865
Phone (718) 218-5666

Other names 1

  • Adult Health NP Modern Wellness Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250825001667 NY Part B Supplier - Clinic/Group Practice 8325548266 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1679467435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 CASTLETON AVE",
            "address_2": "GROUND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101865",
            "telephone_number": "718-218-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 CASTLETON AVE",
            "address_2": "GROUND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101865",
            "telephone_number": "718-218-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.A. ADULT HEALTH NP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "ABAYOMI",
        "authorized_official_first_name": "OMOWUNMI",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-218-5666",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Health NP Modern Wellness Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.