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OLASUMBO OLADERU
NPI 1083250484
Nurse Practitioner - Psychiatric/Mental Health in Ewing, NJ

Active since November 20, 2019PECOS EnrolledAccepts Medicare Assignment
1901 N OLDEN AVENUE EXT STE 11A, EWING, NJ 08618(609) 583-4970(609) 323-7385 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, Jan 7, 2026, Sep 18, 2022 and 1 more (4 updates tracked since 2019).

About Olasumbo Oladeru NPPES

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

OLASUMBO OLADERU (NPI 1083250484) is an individual psychiatric/mental health provider in Ewing, New Jersey, licensed in New Jersey (26NJ00987800) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ewing, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083250484
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLASUMBO OLADERU
Location Address1901 N OLDEN AVENUE EXT STE 11AEwing, NJ 08618-2100
Mailing Address1901 N Olden Avenue Ext Ste 11aEwing, NJ 08618-2100 · (609) 583-4970 · Fax (609) 323-7385
Phone(609) 583-4970
Fax(609) 323-7385
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 20, 2019
Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1083250484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00987800
1901 N OLDEN AVENUE EXT STE 11A, Ewing, NJ 08618
Open in Google Maps ↗

Secondary Practice Location 1

Location 14 Boleyn CtEwing, NJ 08628-2231 · Phone (609) 321-0233

Other Identifiers 1

Medicaid0751171NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olasumbo Oladeru is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890115158
PECOS Enrollment IDI20201027000022
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Olasumbo Oladeru reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iconichealth LLC
Same address
Psychiatric/Mental Health
1901 N OLDEN AVENUE EXT STE 11A
Ewing, NJ 08618
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1972106292 (609) 583-4970
Cognicare Psychological Services LLC
22 mi
Mental Health
971 US HIGHWAY 202 N STE 3
Branchburg, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1831746957 (908) 800-9590
Grow Healthcare Group Of New Jersey PC
52 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Grow Healthcare Group PA
1,045 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

BRENDA STARLING NP
Nurse Practitioner (Psychiatric/Mental Health)
1901 N OLDEN AVENUE EXT STE 11A
EWING, NJ 08618
Mercer County (609) 583-4969
MINDBRIO PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
1901 N OLDEN AVENUE EXT STE 11A
EWING, NJ 08618
Mercer County (732) 737-1811
ICONICHEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
1901 N OLDEN AVENUE EXT STE 11A
EWING, NJ 08618
Mercer County (609) 583-4970

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 Olasumbo Oladeru's NPI number?

The NPI number for Olasumbo Oladeru is 1083250484. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Olasumbo Oladeru located?

Olasumbo Oladeru practices at 1901 N Olden Avenue Ext Ste 11A, Ewing, NJ 08618. The listed phone number is (609) 583-4970.

What is Olasumbo Oladeru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Olasumbo Oladeru enrolled in Medicare?

Yes. Olasumbo Oladeru is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Olasumbo Oladeru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olasumbo Oladeru reassigns Medicare benefits to 4 organizations: Iconichealth LLC (Ewing, NJ), Cognicare Psychological Services LLC (Branchburg, NJ), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Grow Healthcare Group PA (Miami, FL). Each 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 Olasumbo Oladeru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olasumbo Oladeru accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Olasumbo Oladeru as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olasumbo Oladeru was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.