Keith Thomas Ayoob, ED.D., R.D., C.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

002276-1 Issued in NY

Practice address

1165 Morris Park Ave
Room 438
Bronx, NY 10461-1915

Phone

(718) 430-3970

Fax

(718) 823-4877

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment
• Montefiore Medical Center

  • Family Medicine Physician
  • New York, NY
  • NPI 1760288278
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1801948641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 47TH ST",
            "address_2": "18F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172128",
            "telephone_number": "718-430-3970",
            "fax_number": "718-823-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MORRIS PARK AVE",
            "address_2": "ROOM 438",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611915",
            "telephone_number": "718-430-3970",
            "fax_number": "718-823-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOOB",
        "first_name": "KEITH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "ED.D., R.D., C.D.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "002276-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Ayikwei, PA
• Raji Mohammed Ayinla, M.D.
• Kwasi Ofori Ayisi
• Aylin Kiyici MD LLC
• Remy Ayo
• Omolola Adetoun Ayoola
• Grace Ayorinde
• Nour Al Dein Ayoub
• Yvonne Tony Ayoub, MSN, FNP
• Ruth Aytehgeza

• Registered Dietitian in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.