Olive Wellbeing Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

25MZ00016800 Issued in NJ

Legal business name

OLIVE WELLBEING INC

Practice address

191 Oliver St
Paterson, NJ 07501-1818

Phone

(973) 684-8500

Fax

(973) 684-8501

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Doam Kim, LAC

Title

President

Phone

(201) 724-9684

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1033527791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 OLIVER ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011818",
            "telephone_number": "973-684-8500",
            "fax_number": "973-684-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 OLIVER ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011818",
            "telephone_number": "973-684-8500",
            "fax_number": "973-684-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE WELLBEING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-724-9684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "25MZ00016800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mojisola Ojelade
• Rakesh Ojha, MD
• Nnennaya Chikaodinaka Okorafor, M.D
• Oladimeji Okubadejo
• Oluremi Oladeji, MD
• Donald Oliver Jr.
• Maria Olmos
• Toyin Olowoyo, APN-FNP-BC
• Omar T Cockey DMD PA
• Rawan Omar

• Health Maintenance Organization in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.