EMILOLA OGUNBAMERU MD
NPI 1104830173
Pediatrics - Pediatric Emergency Medicine in Paterson, NJ

Q: What is Emilola Ogunbameru's NPI number?

The NPI number for Emilola Ogunbameru is 1104830173. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Emilola Ogunbameru's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment

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

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emilola Ogunbameru Md NPPES

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

EMILOLA OGUNBAMERU MD (NPI 1104830173) is an individual pediatric emergency medicine provider in Paterson, New Jersey, licensed in New Jersey (071205) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1104830173

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameEMILOLA OGUNBAMERUCredential: MD

Location Address703 MAIN ST, ER DEPTPaterson, NJ 07503

Mailing AddressPo Box 51003Newark, NJ 07101 · (866) 687-1790 · Fax (616) 975-9827

Phone(973) 754-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 28, 2006

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1104830173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NJ · 071205

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

703 MAIN ST, Paterson, NJ 07503

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Other Identifiers 1

Medicaid0054810NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emilola Ogunbameru Md 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 ID7618929050

PECOS Enrollment IDI20050215000111

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 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)