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OLUWABUNMI OMOTAYO
NPI 1124843792
Nurse Practitioner - Psychiatric/Mental Health in Chatham, NJ

Active since November 19, 2024PECOS Enrolled
421 RIVER RD, CHATHAM, NJ 07928(347) 302-1212 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oluwabunmi Omotayo NPPES

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

OLUWABUNMI OMOTAYO (NPI 1124843792) is an individual psychiatric/mental health provider in Chatham, New Jersey, licensed in New Jersey (26NJ15144400) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124843792
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLUWABUNMI OMOTAYO
Location Address421 RIVER RDChatham, NJ 07928-1228
Mailing Address421 River RdChatham, NJ 07928-1228 · (347) 302-1212
Phone(347) 302-1212
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1124843792 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 · 26NJ15144400
421 RIVER RD, Chatham, NJ 07928
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5395211353
PECOS Enrollment IDI20260416003612
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07928 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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 Oluwabunmi Omotayo's NPI number?

The NPI number for Oluwabunmi Omotayo is 1124843792. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Oluwabunmi Omotayo located?

Oluwabunmi Omotayo practices at 421 River Rd, Chatham, NJ 07928. The listed phone number is (347) 302-1212.

What is Oluwabunmi Omotayo's specialty?

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

Is Oluwabunmi Omotayo enrolled in Medicare?

Yes. Oluwabunmi Omotayo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluwabunmi Omotayo was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.