Individual provider Active NPI

Ovundah Edwin Okene, MD

  • Hematology & Oncology Physician
  • Johnstown, NY
National Provider Identifier
1285706168
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
211429 Issued in NY
Practice address
23 South Perry Street
Johnstown, NY 12095-0000
Phone
(518) 736-1500
Fax
(518) 762-8194
NPI assigned
Nov 15, 2006
Last updated
Feb 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 211429 NY Primary

Addresses

Primary practice location

23 South Perry Street
Johnstown, NY 12095-0000

Mailing address

99 East State Street
PO Box 1250
Gloversville, NY 12078-0100
Phone (518) 775-4205

Other identifiers 2

IdentifierTypeStateIssuer
3043440OtherNYMVP HEALTH PLAN
01971815MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000025 NY Practitioner - Internal Medicine 6002963022 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Feb 1, 2015 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 1, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
Cary Daniel MD, PC Past Accepting new patients
Lovingcare Diabetes Program @ Albright Medical Past Accepting new patients
Citicardiaccare P.C. Past Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

460 W 34th St
New York, NY 10001
Phone (212) 273-6515

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1285706168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAST STATE STREET",
            "address_2": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780100",
            "telephone_number": "518-775-4205",
            "fax_number": "518-775-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SOUTH PERRY STREET",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120950000",
            "telephone_number": "518-736-1500",
            "fax_number": "518-762-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKENE",
        "first_name": "OVUNDAH",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "211429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "3043440",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01971815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

Verify at the official NPI Registry.