NPIMap

Individual provider Active NPI

Moyosore Oluleye, MD

  • Hospitalist Physician
  • Holmdel, NJ
National Provider Identifier
1124605365
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA12300100 Issued in NJ
Practice address
727 N Beers St
Holmdel, NJ 07733-1514
Phone
(732) 739-5900
NPI assigned
Mar 25, 2021
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25MA12300100 NJ Primary

Addresses

Primary practice location

727 N Beers St
Holmdel, NJ 07733-1514

Mailing address

247 N 7TH St Apt 210
Brooklyn, NY 11211-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724004243 NJ Practitioner - Internal Medicine 3577009620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12300100NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA Hospitalist CurrentSince Sep 1, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1124605365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N 7TH ST APT 210",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331514",
            "telephone_number": "732-739-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLULEYE",
        "first_name": "MOYOSORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA12300100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.