Kolawole Olukayode Olugbade Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA12009400 Issued in NJ

Practice address

1140 Route 72 W
Stafford Township, NJ 08050-2412

Phone

(609) 597-1991

Fax

(609) 597-8198

NPI assigned

Apr 26, 2014

Last updated

May 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, ND, NJ, SC, GA, PA6 enrollments

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 6

Specialty

Urology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
• Essentia Health Hospital, Fargo, ND, CCN 350070
• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
• Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
• Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
• Direct secure messaging: kolawole.olugbade.1@8478.direct.athenahealth.com
• Direct secure messaging: kolugbade843082@direct.ghs.myhfn.org

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.

• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMHMG Specialty Care

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249

  Urology

  Medicare reassignment Care Compare group NPD
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment Care Compare group NPD
• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321

  Urology

  Medicare reassignment Care Compare group NPD
• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment NPD
• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD
• Mount Auburn Professional Services Inc

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1992750996
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMMG New Jersey Oral & Maxillofacial Surgery

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• Beth Israel Deaconess Medical Center, Inc.

  • Ambulance
  • Boston, MA
  • NPI 1518600501
  NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044
  NPD

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

• HMH Hospitals Corporation

  dba Southern Ocean Medical Center

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation
• Prisma Health Midlands

  dba Prisma Health Senior Primary Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, SC
  • NPI 1962471946

  Hospital

  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1033889795
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Pediatric Hematology/Oncology

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154197846
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Richland Hosptial

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154373843
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Richland Lab Outreach

  • General Acute Care Hospital
  • Coulmbia, SC
  • NPI 1154432458
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Baptist Hospital

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Assertive Community Treatment Team

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1306623137
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1396524104
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Outpatient Pediatric Pulmonology

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1508554452
  Care Compare affiliation

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1831519024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD",
            "address_2": "BLDG. 2, SUITE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "STAFFORD TOWNSHIP",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "609-597-1991",
            "fax_number": "609-597-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Riverside St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621383",
            "country_code": "US",
            "telephone_number": "603-577-3190",
            "fax_number": "603-577-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 English Creek Ave Bldg 12002nd",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082345549",
            "country_code": "US",
            "telephone_number": "609-833-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Taylor St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012946",
            "country_code": "US",
            "telephone_number": "803-434-4790",
            "fax_number": "803-434-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUGBADE",
        "first_name": "KOLAWOLE",
        "middle_name": "OLUKAYODE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "94248",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA12009400",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "20818",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "280011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia19
• Maria Celina Gomez
• Rasha Hamid Numan Saleh, MD
• Inner Peace With Christina
• Dan Miranda, MS, LCADC, CCS
• Imani J Rosario, M.D.
• Ashraf Saleem, MD
• Danielle R. Trapani, LSW
• Patricia A Usewicz, DPM

• Urology Physician in Stafford Township, NJ
• Providers in Stafford Township, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.