Provider Demographics
NPI:1144013046
Name:OLABIYI, SAMUEL AKINBIYI
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:AKINBIYI
Last Name:OLABIYI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 YATES AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112-1638
Mailing Address - Country:US
Mailing Address - Phone:862-339-8779
Mailing Address - Fax:
Practice Address - Street 1:38 YATES AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-1638
Practice Address - Country:US
Practice Address - Phone:862-339-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR25064000163WH0200X
NJ26NR2506440000163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health