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OLUTOLASE EBUNLOMO
NPI 1730933383
Surgery in Matawan, NJ

Active since April 11, 2024PECOS Enrolled
120 MATAWAN AVE, MATAWAN, NJ 07747(201) 282-9816 Get Directions Write a Review

NPPES record last updated: September 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2025, Apr 11, 2024 (2 updates tracked since 2024).

About Olutolase Ebunlomo NPPES

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

OLUTOLASE EBUNLOMO (NPI 1730933383) is an individual surgery provider in Matawan, New Jersey, licensed in California (PTL19439) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730933383
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameOLUTOLASE EBUNLOMO
Location Address120 MATAWAN AVEMatawan, NJ 07747-2640
Mailing Address120 Matawan AveMatawan, NJ 07747-2640 · (201) 282-9816
Phone(201) 282-9816
Sole ProprietorNo
Enumeration DateApril 11, 2024
Last NPPES UpdateSeptember 28, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2025
✔ NPI 1730933383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · PTL19439
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
120 MATAWAN AVE, Matawan, NJ 07747
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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)

Olutolase Ebunlomo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07747 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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 Olutolase Ebunlomo's NPI number?

The NPI number for Olutolase Ebunlomo is 1730933383. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Olutolase Ebunlomo located?

Olutolase Ebunlomo practices at 120 Matawan Ave, Matawan, NJ 07747. The listed phone number is (201) 282-9816.

What is Olutolase Ebunlomo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Olutolase Ebunlomo enrolled in Medicare?

Yes. Olutolase Ebunlomo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olutolase Ebunlomo was last updated on September 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.