Doctor profile · Federal record

Dr. Kemisola Ebietomiye

Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · New York, NY

  • NPI 1255102976
  • Accepts Medicare
  • 3 yrs in practice
  • Licensed in 3 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
274 Madison Ave Rm 1501
New York, NY 100160701
(212) 203-1773
fax (646) 665-4427
Additional location
2 University Plz Ste 100
Hackensack, NJ 076016210
Additional location
801 7Th Ave
Fort Worth, TX 761042733
(773) 621-8983
fax (469) 242-9827
Mailing address
548 Westwood Way Dr
Haslet, TX 760523079

Credentials & registration

NPPES · NUCC
NPI registered
January 2024 — 2 yrs on file
Profile last updated
July 7, 2025
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363LP0808X — NUCC code
State licenses (3)
New York #405625 · Texas #1149539 · New Jersey #26NJ15047800

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255102976. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$113
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) 1 $112.57

By nature of payment

Food and Beverage
$113

Frequently asked questions

Auto-generated from federal data
What is Dr. Kemisola Ebietomiye's medical specialty?
Dr. Kemisola Ebietomiye practices Psychiatric/Mental Health Nurse Practitioner in New York, NY.
Where does Dr. Kemisola Ebietomiye practice?
Dr. Kemisola Ebietomiye practices at 274 Madison Ave Rm 1501, New York, NY 100160701. Office phone: 2122031773.
What is Dr. Kemisola Ebietomiye's NPI?
Dr. Kemisola Ebietomiye's National Provider Identifier (NPI) is 1255102976, issued by NPPES.
Does Dr. Kemisola Ebietomiye accept Medicare assignment?
Yes. Dr. Kemisola Ebietomiye accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 13, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›