SAMUEL OYEWOLE ADEYEYE R.D. NPI 1720116544

NPI Information

NPI: 1720116544
Provider Name: SAMUEL OYEWOLE ADEYEYE, R.D.
Classification: Nutritionist - 133NN1002X
Specialization: Nutrition, Education
Entity Type: Individual
Address: 148 WILSON AVENUE
COMPREHENSIVE HEALTH CARE AND REHABILITATION SERVICES
BROOKLYN, NY
ZIP 11237
Phone: (718) 455-5500

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NPI Details

Samuel Oyewole Adeyeye, R.D. is a nutrition and education nutritionist in Brooklyn, NY. Samuel Oyewole Adeyeye, R.D. NPI is 1720116544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

148 WILSON AVENUE
COMPREHENSIVE HEALTH CARE AND REHABILITATION SERVICES
BROOKLYN, NY
ZIP 11237-149
Phone: (718) 455-5500
Fax: (718) 455-8700

The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	005445	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9244E1	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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