Individual provider Active NPI

Olumide O Olawoye, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Flemington, NJ
National Provider Identifier
1598813172
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02306100 Issued in NJ
Practice address
1100 Wescott Dr
Suite 108
Flemington, NJ 08822-4600
Phone
(908) 788-6475
Fax
(908) 788-6604
NPI assigned
Jan 8, 2007
Last updated
Dec 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02306100 NJ Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS036703 PA

Addresses

Primary practice location

1100 Wescott Dr
Suite 108
Flemington, NJ 08822-4600

Mailing address

1100 Wescott Dr
Suite 108
Flemington, NJ 08822-4600
Phone (908) 788-6475

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000190 NJ Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3072661156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
New York University College of Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Wescott Dr
Flemington, NJ 08822-4600
Phone (908) 751-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036703PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Oral and Maxillofacial Surgical Specialists Oral and Maxillofacial Surgery CurrentSince Feb 25, 2009 Accepting new patients
Hunterdon Oral Surgery Associates, PA Oral and Maxillofacial Surgery PastSince Mar 26, 2009 Accepting new patients

Locations

1100 Wescott Dr
Ste 108
Flemington, NJ 08822
Phone (908) 751-7117

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1598813172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR",
            "address_2": "SUITE 108",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6475",
            "fax_number": "908-788-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR",
            "address_2": "SUITE 108",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6475",
            "fax_number": "908-788-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWOYE",
        "first_name": "OLUMIDE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02306100",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.