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DR. OLUYINKA THEODORE IGBERASE MD
NPI 1295421972
Student in an Organized Health Care Education/Training Program in South Orange, NJ

Active since April 14, 2023PECOS Enrolled
31 VOSE AVE UNIT 372, SOUTH ORANGE, NJ 07079(415) 409-9569 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Jun 13, 2023, Apr 14, 2023 (3 updates tracked since 2023).

About Dr. Oluyinka Theodore Igberase Md NPPES

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

DR. OLUYINKA THEODORE IGBERASE MD (NPI 1295421972) is an individual student in an organized health care education/training program in South Orange, New Jersey, licensed in Michigan (4351051496) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295421972
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OLUYINKA THEODORE IGBERASECredential: MD
Location Address31 VOSE AVE UNIT 372South Orange, NJ 07079-6402
Mailing Address31 Vose Ave Unit 372South Orange, NJ 07079-6402
Phone(415) 409-9569
Sole ProprietorNo
Enumeration DateApril 14, 2023
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1295421972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351051496
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
31 VOSE AVE UNIT 372, South Orange, NJ 07079
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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)

Dr. Oluyinka Theodore Igberase Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Oluyinka Igberase's NPI number?

The NPI number for Oluyinka Igberase is 1295421972. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Oluyinka Igberase located?

Oluyinka Igberase practices at 31 Vose Ave Unit 372, South Orange, NJ 07079. The listed phone number is (415) 409-9569.

What is Oluyinka Igberase's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oluyinka Igberase enrolled in Medicare?

Yes. Oluyinka Igberase is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluyinka Igberase was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.