Active NPI
Goodluck Omuyeh
- Social Worker
- Upper Darby, PA
National Provider Identifier
1194180133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 110 Powell LN
Upper Darby, PA 19082-3310 - Phone
- (610) 350-1727
- NPI assigned
- Dec 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
110 Powell LN
Upper Darby, PA 19082-3310
Mailing address
110 Powell LN
Upper Darby, PA 19082-3310
Phone (610) 350-1727
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 |
|---|---|---|---|
| Staffing & Skills Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Upper Darby, PA
- NPI 1992151492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1194180133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 POWELL LN",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823310",
"telephone_number": "610-350-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 POWELL LN",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823310",
"telephone_number": "610-350-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMUYEH",
"first_name": "GOODLUCK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.