Individual provider Active NPI

Oluwatoyin Odunayo Adegoke, NP

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1689417982
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1217354 Issued in TX
Practice address
134 W Eagle St FL 5
Buffalo, NY 14202-3804
Phone
(718) 858-8090
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 720801 NY
Family Nurse Practitioner 363LF0000X 1217354 TX Primary
Family Nurse Practitioner 363LF0000X 351982 NY

Addresses

Primary practice location

134 W Eagle St FL 5
Buffalo, NY 14202-3804

Mailing address

3581 Big Tree Rd Unit 14
Hamburg, NY 14075-1737
Phone (716) 398-1218

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
720801NYMDRegistered Nurse
351982NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1689417982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 BIG TREE RD UNIT 14",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751737",
            "telephone_number": "716-398-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W EAGLE ST FL 5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023804",
            "telephone_number": "718-858-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGOKE",
        "first_name": "OLUWATOYIN",
        "middle_name": "ODUNAYO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "720801",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1217354",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351982",
            "primary": false
        }
    ],
    "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 16, 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.