Provider Demographics
NPI:1811796022
Name:OLAWOYE, OLAMIDE O
Entity type:Individual
Prefix:
First Name:OLAMIDE
Middle Name:O
Last Name:OLAWOYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PERRINE AVE APT 505
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2071
Mailing Address - Country:US
Mailing Address - Phone:732-881-7026
Mailing Address - Fax:732-881-7026
Practice Address - Street 1:11 KOSTER BLVD APT 4C
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-4324
Practice Address - Country:US
Practice Address - Phone:732-881-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula