Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adewunmi Julius Bankole, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1912453788

Adewunmi Julius Bankole, NURSEPRACTITIONER is a Nurse Practitioner in Staten Island, New York. Qualified in 2021, 5 years ago. Practices with Institute for Community Living , Inc, a 19-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
5
Licensed in
NJ, NY
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

261 Merrymount St
Staten Island, NY 10314-4850
Phone: (347) 855-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 Broad St Ste 606, Newark, NJ 07102-4537 — (201) 822-1161

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01131600 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 710835 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F403449 (NY)

Record details

NPI number1912453788
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 31, 2016
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Institute For Community Living , Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Staten Island