Individual provider Active NPI

Adekemi Linda Adejare, RDN

  • Registered Dietitian
  • Elmer, NJ
National Provider Identifier
1831499862
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
945345 Issued in NJ
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.

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

LicenseStateTypeSpecialty
945345NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 945345 NJ Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.