MEDICARE: ENIOLA BAMIDELE FNP-BC, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	26NJ01047100	NJ
2	363LF0000X	Family Nurse Practitioner	F345560-01	NY
3	163W00000X	Registered Nurse	26NR20446300	NJ
4	163W00000X	Registered Nurse	677	NY
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ01047100	NJ

General Provider Information

NPI Number	:	1275061525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENIOLA BAMIDELE FNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	1100 CORNWALL RD
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2410
Country	:	US
Telephone Number	:	908-255-1722
Fax Number	:	908-255-1733

Provider Business Practice Location Address
First Line	:	1100 CORNWALL RD
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2410
Country	:	US
Telephone Number	:	908-255-1722
Fax Number	:	908-255-1733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	05/24/2026

Similar Medicare Providers

1871456962 — ADE HEALTH & WELLNESS LLC
Practice Location Address:

1100 CORNWALL RD STE 200
MONMOUTH JUNCTION, NJ
08852-2410

Practice Phone: 908-255-1722
Practice Fax: 908-255-1733

1922605328 — SAMANTHA SABINO BCBA
Practice Location Address:

1100 CORNWALL RD STE 150
MONMOUTH JUNCTION, NJ
08852-2410

Practice Phone: 855-647-6888
Practice Fax:

1356064315 — JESSICA ROSE SCOTTI BCBA
Practice Location Address:

1100 CORNWALL RD STE 150
MONMOUTH JUNCTION, NJ
08852-2410

Practice Phone: 855-647-6888
Practice Fax:

1225848740 — JESSICA COSTANTINO
Practice Location Address:

1100 CORNWALL RD
MONMOUTH JUNCTION, NJ
08852-2410

Practice Phone: 732-605-6353
Practice Fax:

1730067794 — LILIAN SHLOMO BCBA
Practice Location Address:

1100 CORNWALL RD STE 150
MONMOUTH JUNCTION, NJ
08852-2410

Practice Phone: 855-640-7888
Practice Fax:

1760332241 — OSNAD HOME CARE LLC
Practice Location Address:

1100 CORNWALL RD STE 200
MONMOUTH JUNCTION, NJ
08852-2410

Practice Phone: 201-895-9620
Practice Fax:

Directions to “ ENIOLA BAMIDELE FNP-BC, PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.