Individual provider Active NPI

Oluwatomilayo Olapeju Desalu, MS, CNS,CDN

  • Dietary Manager
  • Delhi, NY
National Provider Identifier
1154961498
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
License
009908 Issued in NY
Practice address
460 Andes Rd
Delhi, NY 13753-7443
Phone
(607) 746-0300
NPI assigned
Jan 15, 2020
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X 009908 NY Primary

Addresses

Primary practice location

460 Andes Rd
Delhi, NY 13753-7443

Mailing address

460 Andes Rd
Delhi, NY 13753-7443
Phone (607) 746-0300

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
Credentials
Certified Nurse Specialist, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1154961498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ANDES RD",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137537443",
            "telephone_number": "607-746-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ANDES RD",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137537443",
            "telephone_number": "607-746-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESALU",
        "first_name": "OLUWATOMILAYO",
        "middle_name": "OLAPEJU",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS,CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "NY",
            "license": "009908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.