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MRS. OMOBUKOLA OLAYIWADE ITUA RVT
NPI 1003780388
Radiologic Technologist - Vascular Sonography in Hazlet, NJ

Active since October 01, 2025PECOS Enrolled
4 SKYLINE DR, HAZLET, NJ 07730(732) 910-2894 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Omobukola Olayiwade Itua Rvt NPPES

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

MRS. OMOBUKOLA OLAYIWADE ITUA RVT (NPI 1003780388) is an individual vascular sonography provider in Hazlet, New Jersey, licensed in New Jersey (147925) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003780388
Entity TypeIndividualFemale
Primary Taxonomy2471V0105X
Provider Legal NameMRS. OMOBUKOLA OLAYIWADE ITUACredential: RVT
Location Address4 SKYLINE DRHazlet, NJ 07730-1679
Mailing Address4 Skyline DrHazlet, NJ 07730-1679 · (732) 910-2894
Phone(732) 910-2894
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1003780388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · Vascular SonographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471V0105X
License✔ Licensed in NJ · 147925
Definition
A radiologic technologist who specializes in vascular sonography and is trained in the use of ultrasound equipment to image veins and arteries, which health care providers use to diagnose and treat various vascular conditions.
4 SKYLINE DR, Hazlet, NJ 07730
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Omobukola Olayiwade Itua Rvt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941791438
PECOS Enrollment IDI20251112003005
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

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

GOODLAND TLC HOME HEALTH AGENCY
Radiologic Technologist (Vascular Sonography)
4 SKYLINE DR
HAZLET, NJ 07730
Monmouth County (732) 910-2894

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 Omobukola Itua's NPI number?

The NPI number for Omobukola Itua is 1003780388. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Omobukola Itua located?

Omobukola Itua practices at 4 Skyline Dr, Hazlet, NJ 07730. The listed phone number is (732) 910-2894.

What is Omobukola Itua's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Vascular Sonography, with taxonomy code 2471V0105X.

Is Omobukola Itua enrolled in Medicare?

Yes. Omobukola Itua is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omobukola Itua was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.