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ADENIYI ADEDAYO OLABUMUYI MBBS
NPI 1477296242
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 19, 2022PECOS Enrolled
760 BROADWAY, BROOKLYN, NY 11206(718) 963-8752(718) 953-8753 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2022, Jul 14, 2022, Apr 19, 2022 (3 updates tracked since 2022).

About Adeniyi Adedayo Olabumuyi Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADENIYI ADEDAYO OLABUMUYI MBBS (NPI 1477296242) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477296242
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADENIYI ADEDAYO OLABUMUYICredential: MBBS
Location Address760 BROADWAYBrooklyn, NY 11206
Mailing Address66 Wintergreen TrlThe Woodlands, TX 77382 · (469) 837-9512
Phone(718) 963-8752
Fax(718) 953-8753
Sole ProprietorNo
Enumeration DateApril 19, 2022
Last NPPES UpdateDecember 9, 20223 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1477296242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, Brooklyn, NY 11206
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adeniyi Adedayo Olabumuyi Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adeniyi Olabumuyi's NPI number?

The NPI number for Adeniyi Olabumuyi is 1477296242. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Adeniyi Olabumuyi located?

Adeniyi Olabumuyi practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-8752.

What is Adeniyi Olabumuyi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adeniyi Olabumuyi enrolled in Medicare?

Yes. Adeniyi Olabumuyi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adeniyi Olabumuyi was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.