Olutolase Ebunlomo, is a
Surgery physician based in Matawan, New Jersey. Olutolase Ebunlomo is licensed to practice in California (license number PTL19439) and her current practice location is 120 Matawan Ave, Matawan, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 282-9816.
NPI number for Olutolase Ebunlomo is 1730933383 and her current mailing address is 120 Matawan Ave, Matawan, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730933383.
Physician's Profile
| Full Name | Olutolase Ebunlomo |
|---|
| Gender | Female |
|---|
| Speciality | Surgery |
|---|
| Location | 120 Matawan Ave, Matawan, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730933383
- Provider Enumeration Date: 04/11/2024
- Last Update Date: 09/28/2025
Medical Identifiers
Medical identifiers for Olutolase Ebunlomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730933383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | PTL19439 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olutolase Ebunlomo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Olutolase Ebunlomo, 120 Matawan Ave, Matawan, NJ 07747-2640 Ph: (201) 282-9816 | Olutolase Ebunlomo, 120 Matawan Ave, Matawan, NJ 07747-2640 Ph: (201) 282-9816 |
Reviews and Comments