Jacqueline B Okemwa, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00448900 Issued in NJ

Practice address

51 Roosevelt Ave
2ND Floor
Jersey City, NJ 07304-1207

Phone

(201) 889-1494

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jacqueline B Okemwa Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Rutgers New Jersey Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Plover Inpatient Services LLC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1134534688
  Medicare reassignment Care Compare group
• Livingston Hospital Physicians, P.a.

  • General Practice Physician
  • Livingston, NJ
  • NPI 1659372662
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1265864615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041207",
            "telephone_number": "201-889-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEMWA",
        "first_name": "JACQUELINE",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00448900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "OKEMWA",
            "middle_name": "B",
            "prefix": "MISS",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Adult Health Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.