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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: October 25, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (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.

Medicare Billing Reassignment

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

Top Tier Mental Health Wellness LLC
7.7 mi
Psychiatric/Mental Health
959 W 4TH ST
Plainfield, NJ 07063
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1316896491 (973) 566-3676

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 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.

Which organization bills Medicare for Oluwabunmi Omotayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwabunmi Omotayo reassigns Medicare benefits to Top Tier Mental Health Wellness LLC (Plainfield, NJ). The 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 Oluwabunmi Omotayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oluwabunmi Omotayo accept?

Health plans from Oscar Health list Oluwabunmi Omotayo 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 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 23 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.