Oluwabunmi Omotayo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15144400 Issued in NJ

Practice address

421 River Rd
Chatham, NJ 07928-1228

Phone

(347) 302-1212

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Top Tier Mental Health Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, NJ
  • NPI 1316896491
  Medicare reassignment NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1124843792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 RIVER RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281228",
            "telephone_number": "347-302-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 RIVER RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281228",
            "telephone_number": "347-302-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOTAYO",
        "first_name": "OLUWABUNMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15144400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nysale, Inc
• Susan O'Connor, LPC, NCC
• Angie M Oberhelman, LPC
• Maria Elena Ocasio, M.D.
• Renee Odonnell, RPH
• Paivi Marjaana Outinen, RN, MSW
• Suzanne Padovano, DMD
• Erica Palmer, LPC
• Bianca R Papay, RPH
• Maria Parlapiano, RN, IBCLC

• Psychiatric/Mental Health Nurse Practitioner in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.