Individual provider Active NPI

Siadat Iyabode Arijeloye, MASTER DEGREE EDUCAT

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1437554516
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
733990 Issued in NY
Practice address
133 E 53Rd St
Brooklyn, NY 11203-2501
Phone
(718) 773-5332
NPI assigned
Oct 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 733990 NY Primary

Addresses

Primary practice location

133 E 53Rd St
Brooklyn, NY 11203-2501

Mailing address

133 E 53Rd St
Brooklyn, NY 11203-2501
Phone (718) 773-5332

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
733990NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1437554516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032501",
            "telephone_number": "718-773-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032501",
            "telephone_number": "718-773-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIJELOYE",
        "first_name": "SIADAT",
        "middle_name": "IYABODE",
        "credential": "MASTER DEGREE EDUCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "733990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.