Individual provider Active NPI

Sadiq Ladejobi, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1710296827
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402733 Issued in NY
Practice address
356 W 18TH St
New York, NY 10011-4401
Phone
(212) 271-7200
NPI assigned
Oct 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402733 NY Primary
Registered Nurse 163W00000X 635938 NY

Addresses

Primary practice location

356 W 18TH St
New York, NY 10011-4401

Mailing address

2238 Creston Ave Apt 12a
Bronx, NY 10453-2152
Phone (646) 271-6281

Other practice location 1

2238 Creston Ave Apt 12A
Bronx, NY 10453-2152
Phone (646) 271-6281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225001925 NY Practitioner - Nurse Practitioner 3870920200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
635938NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. Current Accepting new patients
Community Health Project Inc. CurrentSince Oct 5, 2025 Accepting new patients
Community Health Project Inc. CurrentSince Oct 5, 2025 Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

356 W 18th St
New York, NY 10011

Organizations & group practices 4

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1710296827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 CRESTON AVE APT 12A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532152",
            "telephone_number": "646-271-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114401",
            "telephone_number": "212-271-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2238 Creston Ave Apt 12A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104532152",
            "country_code": "US",
            "telephone_number": "646-271-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADEJOBI",
        "first_name": "SADIQ",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402733",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.