Individual provider Active NPI

Olufunke Oludayo Obadina, RD, CDN

  • Registered Dietitian
  • Arverne, NY
National Provider Identifier
1710524517
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009634-1 Issued in NY
Practice address
519 Beach 65TH St
Arverne, NY 11692-1354
Phone
(718) 415-6979
NPI assigned
Nov 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 009634-1 NY Primary

Addresses

Primary practice location

519 Beach 65TH St
Arverne, NY 11692-1354

Mailing address

519 Beach 65TH St
Arverne, NY 11692-1354
Phone (718) 415-6979

Other practice location 1

711 Seagirt Ave
2ND Floor / Suite 1
Far Rockaway, NY 11691
Phone (718) 713-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511002002 NY Practitioner - Registered Dietitian Or Nutrition Professional 4284102070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

519 Beach 65TH St
Arverne, NY 11692-1354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009634-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Dietetics-Nutrition Concepts, P.C. Dietitian, Registered CurrentSince Mar 1, 2026 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": "1575072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1710524517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BEACH 65TH ST",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921354",
            "telephone_number": "718-415-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BEACH 65TH ST",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921354",
            "telephone_number": "718-415-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 SEAGIRT AVE",
            "address_2": "2ND FLOOR / SUITE 1",
            "address_purpose": "LOCATION",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "country_code": "US",
            "telephone_number": "718-713-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBADINA",
        "first_name": "OLUFUNKE",
        "middle_name": "OLUDAYO",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009634-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.