Provider Demographics
NPI:1285514265
Name:OGUNYE, OLUROTOLA
Entity type:Individual
Prefix:
First Name:OLUROTOLA
Middle Name:
Last Name:OGUNYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 STERNADORI RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3297
Mailing Address - Country:US
Mailing Address - Phone:732-242-2980
Mailing Address - Fax:
Practice Address - Street 1:58 STERNADORI RD
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3297
Practice Address - Country:US
Practice Address - Phone:732-242-2980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's Aide