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

Funmilola Azeezat Adedeji, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710232798

Funmilola Azeezat Adedeji, NURSEPRACTITIONER is a Nurse Practitioner in Staten Island, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

85 Lockman Ave
Staten Island, NY 10303
Phone: (347) 666-0278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406728 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 3059521 (NY)

Record details

NPI number1710232798
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 9, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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