MEDICARE: ADE HEALTH AND WELLNESS

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1871456962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADE HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	1100 CORNWALL RD STE 200
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2410
Country	:	US
Telephone Number	:	347-661-6980
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 CORNWALL RD STE 200
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2410
Country	:	US
Telephone Number	:	347-661-6980
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	ENIOLA RAMOTALAH BAMIDELE
Credential	:	PMHNP-BC
Telephone Number	:	347-661-6980

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ADE HEALTH AND WELLNESS ” Practice Location

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