GBOLAHAN DEJI OLATUNJI MD
NPI 1316731862
Student in an Organized Health Care Education/Training Program in Newburgh, NY

Active since April 08, 2025PECOS Enrolled
70 DUBOIS ST, NEWBURGH, NY 12550(845) 458-4883 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gbolahan Deji Olatunji Md NPPES

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

GBOLAHAN DEJI OLATUNJI MD (NPI 1316731862) is an individual student in an organized health care education/training program in Newburgh, New York and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316731862
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGBOLAHAN DEJI OLATUNJICredential: MD
Location Address70 DUBOIS STNewburgh, NY 12550-4851
Mailing Address70 Dubois StNewburgh, NY 12550-4851 · (845) 458-4883
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
NPI 1316731862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
70 DUBOIS ST, Newburgh, NY 12550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gbolahan Deji Olatunji 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.

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.

General Acute Care Hospital
70 DUBOIS ST
NEWBURGH, NY 12550
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
70 DUBOIS ST
NEWBURGH, NY 12550
Anesthesiology
70 DUBOIS ST, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Internal Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Emergency Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Anesthesiology
70 DUBOIS ST
NEWBURGH, NY 12550
Anesthesiology
70 DUBOIS ST, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS ST
NEWBURGH, NY 12550

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 Gbolahan Olatunji's NPI number?

The NPI number for Gbolahan Olatunji is 1316731862. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Gbolahan Olatunji located?

Gbolahan Olatunji practices at 70 Dubois St, Newburgh, NY 12550. The listed phone number is (845) 458-4883.

What is Gbolahan Olatunji's specialty?

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

Is Gbolahan Olatunji enrolled in Medicare?

Yes. Gbolahan Olatunji is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gbolahan Olatunji was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.