Active NPI
Gloria N Okoh, M.D
- Pediatrics Physician
- Belleville, NJ
National Provider Identifier
1063597441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA08114300
- Practice address
- 163 Belleville Ave
Belleville, NJ 07109-2437 - Phone
- (973) 302-4644
- Fax
- (973) 528-2242
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA08114300 | NJ | Primary |
Addresses
Primary practice location
163 Belleville Ave
Belleville, NJ 07109-2437
Mailing address
PO Box 1268
Bloomfield, NJ 07003-1268
Phone (973) 302-4644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0398039 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clara Maass Medical Center House Physicians | Pediatrics | Past | Accepting new patients |
| Clara Maass Medical Center | Past | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients | |
| Prospect Pediatrics PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- gokoh@direct.rwjbh.org
- gloria.okoh.p1@direct.caremorewest.nextgenshare.com
- gloriaokoh@1625.mdlanddirect.com
- gloria.okoh.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- Internal Medicine Physician
- Belleville, NJ
- NPI 1861441883
Pediatrics
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
-
- Pediatrics Physician
- Belleville, NJ
- NPI 1023431871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1063597441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1268",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070031268",
"telephone_number": "973-302-4644",
"fax_number": "973-528-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BELLEVILLE AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092437",
"telephone_number": "973-302-4644",
"fax_number": "973-528-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOH",
"first_name": "GLORIA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA08114300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0398039",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.