Provider Demographics
NPI:1376579086
Name:OLADEJI, OLUKAYODE (MD)
Entity Type:Individual
Prefix:
First Name:OLUKAYODE
Middle Name:
Last Name:OLADEJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RACE TRACK RD
Mailing Address - Street 2:SUITE A101
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3804
Mailing Address - Country:US
Mailing Address - Phone:732-238-8090
Mailing Address - Fax:732-238-8091
Practice Address - Street 1:1 RACE TRACK RD
Practice Address - Street 2:SUITE A101
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3804
Practice Address - Country:US
Practice Address - Phone:732-238-8090
Practice Address - Fax:732-238-8091
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA63839207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7067909Medicaid
NJ891991ZL2AOtherMEDICARE ID-TYPE UNSPECIFIED
NJF58740Medicare UPIN