OLADIMEJI OKUBADEJO
NPI 1104529809
Internal Medicine in Paterson, NJ

Q: What is Oladimeji Okubadejo's NPI number?

The NPI number for Oladimeji Okubadejo is 1104529809. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Oladimeji Okubadejo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 23, 2023PECOS Enrolled

703 MAIN ST, PATERSON, NJ 07503(973) 754-2000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Apr 21, 2026, Mar 23, 2023 (3 updates tracked since 2023).

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About Oladimeji Okubadejo NPPES

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

OLADIMEJI OKUBADEJO (NPI 1104529809) is an individual internal medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA13136700) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Hills, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104529809

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOLADIMEJI OKUBADEJO

Location Address703 MAIN STPaterson, NJ 07503-2691

Mailing Address10201 66th RdForest Hills, NY 11375-2029 · (718) 830-4352

Phone(973) 754-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 23, 2023

Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1104529809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA13136700

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

703 MAIN ST, Paterson, NJ 07503

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Secondary Practice Location 1

Location 110201 66th RdForest Hills, NY 11375-2029 · Phone (718) 830-4352

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oladimeji Okubadejo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577027093

PECOS Enrollment IDI20260715001492

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 Reassignment

Medicare enrollment records show Oladimeji Okubadejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Josephs Medical Group PC

Same address

Internal Medicine

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
317 clinicians in this Medicare group

NPI 1205425519 (973) 754-2000

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 07503 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

DR. SETAREH SHAMS MD

Obstetrics & Gynecology (Obstetrics)