Organization Active NPI

Greenbook Health & Wellness

  • General Practice Physician
  • Newark, NJ
National Provider Identifier
1114558780
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GREENBOOK HEALTH & WELLNESS
Practice address
169 Ivy St
Newark, NJ 07106-2843
Phone
(973) 475-5337
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Mr. Ogbonnaya Ukpai
Title
Manager
Phone
(908) 512-8724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

169 Ivy St
Newark, NJ 07106-2843

Mailing address

169 Ivy St
Newark, NJ 07106-2843

Other names 1

  • GBK Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1114558780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 IVY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071062843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 IVY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071062843",
            "telephone_number": "973-475-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBOOK HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "UKPAI",
        "authorized_official_first_name": "OGBONNAYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-512-8724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBK Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.