Individual provider Active NPI

Omorovbiye Eweka

  • Case Management Agency
  • Maplewood, NJ
National Provider Identifier
1124588033
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
1980 Springfield Ave Ste 9D
Maplewood, NJ 07040-3438
Phone
(973) 762-1800
Fax
(973) 762-1808
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1980 Springfield Ave Ste 9D
Maplewood, NJ 07040-3438

Mailing address

570 S 10TH St # 3
Newark, NJ 07103-1827
Phone (908) 422-3146

Other identifiers 2

IdentifierTypeStateIssuer
9737621800MedicaidNJ
9084223146MedicaidNJ

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meolinol Healthcare Benefits LLC Case Management Current Accepting new patients

Locations

1980 Springfield Ave
Ste 9D
Maplewood, NJ 07040
Phone (973) 762-1800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1124588033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 S 10TH ST # 3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031827",
            "telephone_number": "908-422-3146",
            "fax_number": "973-762-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SPRINGFIELD AVE STE 9D",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403438",
            "telephone_number": "973-762-1800",
            "fax_number": "973-762-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWEKA",
        "first_name": "OMOROVBIYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737621800",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9084223146",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.