Active NPI
Synergy Dietetics-Nutrition Concepts, P.C.
- Registered Dietitian
- Arverne, NY
National Provider Identifier
1881532166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SYNERGY DIETETICS-NUTRITION CONCEPTS, P.C.
- Practice address
- 519 Beach 65TH St
Arverne, NY 11692-1354 - Phone
- (718) 415-6979
- NPI assigned
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olufunke Oludayo Obadina, RDN, CDN
- Title
- Ceo
- Phone
- (718) 415-6979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Arverne, NY
- NPI 1710524517
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1881532166",
"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": [],
"basic": {
"organization_name": "SYNERGY DIETETICS-NUTRITION CONCEPTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "OBADINA",
"authorized_official_first_name": "OLUFUNKE",
"authorized_official_middle_name": "OLUDAYO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-415-6979",
"authorized_official_credential": "RDN, CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Mar 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.