NPIMap

Individual provider Active NPI

Olukayode Oladeji, MD

  • Interventional Cardiology Physician
  • East Brunswick, NJ
National Provider Identifier
1376579086
Registry record updated May 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MA63839 Issued in NJ
Practice address
1 Race Track Rd
Suite A101
East Brunswick, NJ 08816-3804
Phone
(732) 238-8090
Fax
(732) 238-8091
NPI assigned
Jun 24, 2006
Last updated
May 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MA63839 NJ Primary

Addresses

Primary practice location

1 Race Track Rd
Suite A101
East Brunswick, NJ 08816-3804

Mailing address

1 Race Track Rd
Suite A101
East Brunswick, NJ 08816-3804
Phone (732) 238-8090

Other identifiers 2

IdentifierTypeStateIssuer
891991ZL2AOtherNJMEDICARE ID-TYPE UNSPECIFIED
7067909MedicaidNJ

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
I20100311000048 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113900036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Race Track Rd
Suite A101
East Brunswick, NJ 08816-3800
Phone (732) 238-8090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA63839NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olukayode a Oladeji MD LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

1 Race Track Rd
Ste A101
East Brunswick, NJ 08816
Phone (732) 238-8090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJJCA/Endpoint/DJJJCA

Organizations & group practices 3

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 11

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1376579086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RACE TRACK RD",
            "address_2": "SUITE A101",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163804",
            "telephone_number": "732-238-8090",
            "fax_number": "732-238-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RACE TRACK RD",
            "address_2": "SUITE A101",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163804",
            "telephone_number": "732-238-8090",
            "fax_number": "732-238-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADEJI",
        "first_name": "OLUKAYODE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA63839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "891991ZL2A",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7067909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.