Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oluwabunmi Omotayo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124843792

Oluwabunmi Omotayo is a Nurse Practitioner in Chatham, New Jersey. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024

Practice location Address checks out

421 River Rd
Chatham, NJ 07928-1228
Phone: (347) 302-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15144400 (NJ)

Record details

NPI number1124843792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Chatham