Individual provider Active NPI

Naheem Ayodele Oyebanjo

  • Doula
  • Laurelton, NY
National Provider Identifier
1316747900
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
5163-35534470 Issued in NY
Practice address
22931 Edgewood Ave
Laurelton, NY 11413-3637
Phone
(718) 415-7203
NPI assigned
Mar 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 5163-35534470 NY Primary

Addresses

Primary practice location

22931 Edgewood Ave
Laurelton, NY 11413-3637

Mailing address

22931 Edgewood Ave
Laurelton, NY 11413-3637
Phone (718) 415-7203

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

State licenses

LicenseStateTypeSpecialty
5163-35534470NYMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Emperor Agency Corp. Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1316747900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22931 EDGEWOOD AVE",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133637",
            "telephone_number": "718-415-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22931 EDGEWOOD AVE",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133637",
            "telephone_number": "718-415-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEBANJO",
        "first_name": "NAHEEM",
        "middle_name": "AYODELE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NY",
            "license": "5163-35534470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.