Active NPIIndividual providerSole proprietor

Omolade Otulaja

Specialist in Elizabethport, New Jersey

NPI Number1174392856
Practice location
40 Lt Glenn Zamorksi, Elizabethport, NJ 07206
Fax
—
Last updated
December 22, 2023

Omolade Otulaja is a Specialist based in Elizabethport, NJ. Omolade Otulaja practices in Elizabethport, NJ. The NPI Number for Omolade Otulaja is 1174392856. The current practice location address for Omolade Otulaja is 40 Lt Glenn Zamorksi, Elizabethport, NJ 07206 and can be reached out via phone at 201-856-4727.

Provider Profile Details

NPI Number
1174392856
Provider Name
Omolade Otulaja
Provider Entity Type
Individual
Gender
Female
Address
40 Lt Glenn Zamorksi, Elizabethport, NJ 07206
Phone Number
201-856-4727
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
December 22, 2023
Last Update Date
December 22, 2023
Certification Date
December 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Lt Glenn Zamorksi
Elizabethport, NJ 07206
Zip
07206
Phone Number
201-856-4727
Elizabethport, NJ 07206Get directions →

Provider Business Mailing Address Details

Address
40 Lt Glenn Zamorksi
Elizabethport, NJ 07206
City
Elizabethport
State
NJ
Zip
07206

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Omolade Otulaja?

The NPI number of Omolade Otulaja is 1174392856. It was assigned on December 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Omolade Otulaja?

Omolade Otulaja is registered under the primary taxonomy Specialist (code 174400000X).

Where does Omolade Otulaja practice?

The practice location is 40 Lt Glenn Zamorksi, Elizabethport, NJ 07206. The office can be reached at 201-856-4727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174392856 directly on the NPPES registry website.

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