Funmilola Azeezat Adedeji, NURSE PRACTITIONER - Nurse Practitioner in Staten Island, NY

Funmilola Azeezat Adedeji, NURSE PRACTITIONER is a Nurse Practitioner - Psychiatric/mental Health based in Staten Island, New York. Funmilola Azeezat Adedeji is licensed to practice in New York (license number 406728) and her current practice location is 85 Lockman Av, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at (347) 666-0278.

NPI number for Funmilola Azeezat Adedeji is 1710232798 and her current mailing address is 52 Van Name Ave, Staten Island, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710232798.

Contact Information

Funmilola Azeezat Adedeji, NURSE PRACTITIONER
85 Lockman Av,
Staten Island, NY 10303
(347) 666-0278
Not Available

Map and Direction




Provider's Profile

Full NameFunmilola Azeezat Adedeji
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location85 Lockman Av, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710232798
  • Provider Enumeration Date: 07/17/2012
  • Last Update Date: 07/09/2025

Medical Identifiers

Medical identifiers for Funmilola Azeezat Adedeji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710232798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 406728 (New York)Primary
164W00000XLicensed Practical Nurse 3059521 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Funmilola Azeezat Adedeji is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Funmilola Azeezat Adedeji, NURSE PRACTITIONER
52 Van Name Ave,
Staten Island, NY 10303-2022

Ph: (347) 666-0278
Funmilola Azeezat Adedeji, NURSE PRACTITIONER
85 Lockman Av,
Staten Island, NY 10303

Ph: (347) 666-0278

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