NPIMap

Organization Active NPI

His Rhema Nutrition Services, LLC

  • Metabolic Nutrition Registered Dietitian
  • Jamaica, NY
National Provider Identifier
1033492582
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
005445 Issued in NY
Legal business name
HIS RHEMA NUTRITION SERVICES, LLC
Practice address
9050 Parsons Blvd Ste 304
Jamaica, NY 11432-6052
Phone
(718) 569-5168
Fax
(718) 569-5164
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samuel Oyewole Adeyeye, PHD, MPH, RD, CDN
Title
Director
Phone
(718) 569-5168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X 005445 NY Primary

Addresses

Primary practice location

9050 Parsons Blvd Ste 304
Jamaica, NY 11432-6052

Mailing address

9050 Parsons Blvd., Suite 304
Jamaica, NY 11432-6052
Phone (718) 569-5168

National Provider Directory

National Provider Directory

Locations

9050 Parsons Blvd
Ste 304
Jamaica, NY 11432
Phone (718) 569-5168

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1033492582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PARSONS BLVD., SUITE 304",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326052",
            "telephone_number": "718-569-5168",
            "fax_number": "718-569-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PARSONS BLVD STE 304",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326052",
            "telephone_number": "718-569-5168",
            "fax_number": "718-569-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS RHEMA NUTRITION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "ADEYEYE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "OYEWOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-569-5168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH, RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "005445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.