Active NPIIndividual providerSole proprietor

Musafau O Adenaike, PMHNP

Nurse Practitioner, Psych/Mental Health in Staten Island, New York

NPI Number1235825894
Practice location
260 Christopher Ln Ste 102A, Staten Island, NY 10314-1631
Fax
315-612-9793
Last updated
August 29, 2024

Musafau Oladiran Adenaike is a Nurse Practitioner, Psych/Mental Health based in Staten Island, NY. Musafau Oladiran Adenaike practices in Staten Island, NY and has the professional credentials of PMHNP. The NPI Number for Musafau Oladiran Adenaike is 1235825894 and holds a License No. F405742 (NY). The current practice location address for Musafau Oladiran Adenaike is 260 Christopher Ln Ste 102A, Staten Island, NY 10314-1631 and can be reached out via phone at 914-295-9323 and via fax at 315-612-9793.

Provider Profile Details

NPI Number
1235825894
Provider Name
Musafau Oladiran Adenaike
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
260 Christopher Ln Ste 102A, Staten Island, NY 10314-1631
Phone Number
914-295-9323
Fax Number
315-612-9793
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2023
Last Update Date
August 29, 2024
Certification Date
August 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
260 Christopher Ln Ste 102A
Staten Island, NY 10314-1631
Zip
10314-1631
Phone Number
914-295-9323
Fax Number
315-612-9793
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
107 S 12TH St
Newark, NJ 07107-4197
City
Newark
State
NJ
Zip
07107-4197
Phone Number
973-517-0123

License Information

License Number (1)
F405742
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
26NJ01469400
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Musafau O Adenaike, PMHNP?

The NPI number of Musafau O Adenaike, PMHNP is 1235825894. It was assigned on April 17, 2023 and is currently active in the NPPES registry.

What is the specialty of Musafau O Adenaike, PMHNP?

Musafau O Adenaike, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number F405742.

Where does Musafau O Adenaike, PMHNP practice?

The practice location is 260 Christopher Ln Ste 102A, Staten Island, NY 10314-1631. The office can be reached at 914-295-9323 (phone) or 315-612-9793 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235825894 directly on the NPPES registry website.

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