DR. BOLAJI OLUGBOJA NPI 1689005043

NPI Information

  • NPI: 1689005043
  • Provider Name: DR. BOLAJI OLUGBOJA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8515 LIBERTY RD STE B
    RANDALLSTOWN, MD
    ZIP 21133
  • Phone: (410) 301-6767

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NPI Details

DR. Bolaji Olugboja is a psychiatric/mental health nurse practitioner in Randallstown, MD with 7 years of experience. DR. Bolaji Olugboja NPI is 1689005043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8515 LIBERTY RD STE B
RANDALLSTOWN, MD
ZIP 21133-832
Phone: (410) 301-6767
Fax: (410) 496-3121

The NPI 1689005043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 12/10/2013 and was last updated on 12/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineR178347MARYLANDNo
2363LF0000XNurse PractitionerFamilyR178347MARYLANDNo
3363LP2300XNurse PractitionerPrimary CareR210237MARYLANDNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthR178347MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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