Active NPI
Omorovbiye Eweka
- Case Management Agency
- Maplewood, NJ
National Provider Identifier
1124588033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9737621800 | Medicaid | NJ | |
| 9084223146 | 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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New 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.