Organization Active NPI

Medical House Call Associates

  • Home Health Agency
  • Magnolia, NJ
National Provider Identifier
1184994188
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDICAL HOUSE CALL ASSOCIATES
Practice address
536 White Horse Pike
Suite B
Magnolia, NJ 08049
Phone
(856) 345-0444
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Ihuoma Ottih, NPNPI 1508142506
Title
Apn-C/Ceo
Phone
(267) 474-1355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

536 White Horse Pike
Suite B
Magnolia, NJ 08049

Mailing address

244 Aman Ave
Clementon, NJ 08021-2502
Phone (856) 345-0444

Other identifiers 2

IdentifierTypeStateIssuer
0361518MedicaidNJ
613460090OtherNJMEDICARE DCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000801 NJ Part B Supplier - Clinic/Group Practice 3476711508 Receives reassigned benefits from 7 practitioners
Practice locations: Burlington, NJ; Clementon, NJ

National Provider Directory

National Provider Directory

Locations

1134 S Black Horse Pike
Blackwood, NJ 08012
Phone (856) 345-0444

111 Sunset Rd
Burlington, NJ 08016
Phone (609) 239-5440

536 N White Horse Pike
Ste B
Magnolia, NJ 08049
Phone (856) 345-0444

536 N White Horse Pike
#B
Magnolia, NJ 08049

Practitioners & affiliated clinicians

Practitioners 8

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1184994188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 AMAN AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212502",
            "telephone_number": "856-345-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 WHITE HORSE PIKE",
            "address_2": "SUITE B",
            "city": "MAGNOLIA",
            "state": "NJ",
            "postal_code": "08049",
            "telephone_number": "856-345-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOUSE CALL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "OTTIH",
        "authorized_official_first_name": "IHUOMA",
        "authorized_official_title_or_position": "APN-C/CEO",
        "authorized_official_telephone_number": "267-474-1355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361518",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DCN",
            "identifier": "613460090",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.