Individual provider Active NPI

Ademola Adegbite

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
National Provider Identifier
1144156779
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
104720I Issued in NY
Practice address
39 Lasalle Ave Apt 420a
Buffalo, NY 14214-1453
Phone
(917) 209-0174
NPI assigned
Jun 22, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 104720I NY Primary

Addresses

Primary practice location

39 Lasalle Ave Apt 420a
Buffalo, NY 14214-1453

Mailing address

39 Lasalle Ave Apt 420a
Buffalo, NY 14214-1453
Phone (917) 209-0174

Other practice location 1

1717 Sheridan Dr
Tonawanda, NY 14223-1209
Phone (716) 875-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1144156779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LASALLE AVE APT 420A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141453",
            "telephone_number": "917-209-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LASALLE AVE APT 420A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141453",
            "telephone_number": "917-209-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Tonawanda",
            "state": "NY",
            "postal_code": "142231209",
            "country_code": "US",
            "telephone_number": "716-875-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEGBITE",
        "first_name": "ADEMOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "104720I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.