Active NPI
Adekemi Linda Adejare, RDN
- Registered Dietitian
- Elmer, NJ
National Provider Identifier
1831499862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 945345
- Practice address
- 501 Front St
Elmer, NJ 08318-2101 - Phone
- (856) 363-1796
- Fax
- (856) 358-0572
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Registered Dietitian
- Mantua, NJ
- NPI 1033886304
Dietitian, Registered
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
| License | State | Type | Specialty |
|---|---|---|---|
| 945345 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Nutrition Services, LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 945345 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 Front St
Elmer, NJ 08318-2101
Mailing address
397 Bridgeton Pike
Mantua, NJ 08051-1925
Phone (856) 625-6607
Other practice location 1
397 Bridgeton Pike
Mantua, NJ 08051-1925
Phone (856) 625-6607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2021.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1831499862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 BRIDGETON PIKE",
"city": "MANTUA",
"state": "NJ",
"postal_code": "080511925",
"telephone_number": "856-625-6607",
"fax_number": "856-358-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FRONT ST",
"city": "ELMER",
"state": "NJ",
"postal_code": "083182101",
"telephone_number": "856-363-1796",
"fax_number": "856-358-0572"
}
],
"practiceLocations": [
{
"address_1": "397 Bridgeton Pike",
"address_purpose": "LOCATION",
"city": "Mantua",
"state": "NJ",
"postal_code": "080511925",
"country_code": "US",
"telephone_number": "856-625-6607",
"fax_number": "856-358-0572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEJARE",
"first_name": "ADEKEMI",
"middle_name": "LINDA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "945345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmer, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.