OMOLOYIN LLC
NPI 1053142687
Nurse Practitioner - Psychiatric/Mental Health in Morganville, NJ
About Omoloyin Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOLOYIN LLC (NPI 1053142687) is a healthcare organization registered as a psychiatric/mental health in Morganville, New Jersey and active in the NPI registry since August 2024. The organization maintains 2 additional practice locations and lists Isaac Olaniran Omoloyin, Owner/ Apn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omoloyin Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Omoloyin LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Omoloyin LLC's NPI number?
The NPI number for Omoloyin LLC is 1053142687. It was assigned to this organization in the NPPES registry on August 14, 2024.
Where is Omoloyin LLC located?
Omoloyin LLC is located at 114 Canterbury Ln, Morganville, NJ 07751. The listed phone number is (973) 978-0650.
What is Omoloyin LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Omoloyin LLC enrolled in Medicare?
Yes. Omoloyin LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omoloyin LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Omoloyin LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Omoloyin LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Omoloyin Llc · NPI 1053142687
Psychiatric/Mental Health organization in Morganville, New Jersey. Organization record, active in the CMS NPPES registry since August 14, 2024.
## Identity
- **NPI:** 1053142687 (Entity type: Organization)
- **Enumerated:** August 14, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Isaac Omoloyin, OWNER/ APN
## Practice location
- **Address:** 114 CANTERBURY LN, Morganville, NJ 07751-5200
- **Phone:** (973) 978-0650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053142687) · Data from the CMS NPPES public registry.