MATHIAS OMON OLOGBOSELE
NPI 1720604986
Nurse Practitioner - Psychiatric/Mental Health in Burlington, NJ

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
2 PASTERN TER, BURLINGTON, NJ 08016(973) 964-4720 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, Jun 23, 2020 (2 updates tracked since 2020).

About Mathias Omon Ologbosele NPPES

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

MATHIAS OMON OLOGBOSELE (NPI 1720604986) is an individual psychiatric/mental health provider in Burlington, New Jersey, licensed in New Jersey (26NJ01039100) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720604986
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATHIAS OMON OLOGBOSELE
Location Address2 PASTERN TERBurlington, NJ 08016-4296
Mailing Address615 S 19th StNewark, NJ 07103-1116 · (973) 964-4720
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 23, 2020
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1720604986 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 · 26NJ01039100
2 PASTERN TER, Burlington, NJ 08016

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

Mathias Omon Ologbosele 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 ID446679138
PECOS Enrollment IDI20200930000012
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08016 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Mathias Ologbosele's NPI number?

The NPI number for Mathias Ologbosele is 1720604986. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Mathias Ologbosele located?

Mathias Ologbosele practices at 2 Pastern Ter, Burlington, NJ 08016. The listed phone number is (973) 964-4720.

What is Mathias Ologbosele's specialty?

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

Is Mathias Ologbosele enrolled in Medicare?

Yes. Mathias Ologbosele is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mathias Ologbosele was last updated on August 24, 2023. 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.