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

Temilola Ajibulu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659147114

Temilola Ajibulu is a Nurse Practitioner in New York, New York. Qualified in 2023, 3 years ago. Practices with Medical Group of New York PC, a 61-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1619 Broadway
New York, NY 10019-7412
Phone: (646) 416-5752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 352483 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 407109 (NY)

Record details

NPI number1659147114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Group Of New York Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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