Individual provider Active NPI

Oluwafeyisina Faniyi

  • Social Worker
  • Bridgewater, NJ
National Provider Identifier
1639711666
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC06161400 Issued in NJ
Practice address
762 Route 202/206
Bridgewater, NJ 08807-1776
Phone
(908) 864-6061
NPI assigned
Oct 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC06161400 NJ Primary

Addresses

Primary practice location

762 Route 202/206
Bridgewater, NJ 08807-1776

Mailing address

918 Sunnyview Oval
Keasbey, NJ 08832-1038
Phone (240) 367-2730

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001261 NJ Practitioner - Clinical Social Worker 4486019502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elderology LLCGroup PAC ID 6507904141, 23 clinicians

Practice addresses (Care Compare)

61 Pearl St
Metuchen, NJ 08840-1832
Phone (908) 514-8590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06161400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC CurrentSince Mar 27, 2023 Accepting new patients

Locations

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1639711666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SUNNYVIEW OVAL",
            "city": "KEASBEY",
            "state": "NJ",
            "postal_code": "088321038",
            "telephone_number": "240-367-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071776",
            "telephone_number": "908-864-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANIYI",
        "first_name": "OLUWAFEYISINA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06161400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.