Individual provider Active NPI

Irene N Okeke, AUD

  • Audiologist
  • Maplewood, NJ
National Provider Identifier
1336354794
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00021100 Issued in NJ
Practice address
1984 Springfield Avenue
1St Floor
Maplewood, NJ 07040
Phone
(973) 275-1006
Fax
(973) 275-1106
NPI assigned
May 11, 2007
Last updated
Nov 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00021100 NJ Primary
Audiologist-Hearing Aid Fitter 237600000X 25MG00059100 NJ

Addresses

Primary practice location

1984 Springfield Avenue
1St Floor
Maplewood, NJ 07040

Mailing address

1984 Springfield Avenue
1St Floor
Maplewood, NJ 07040
Phone (973) 275-1006

Other identifiers 20

IdentifierTypeStateIssuer
17996OtherUNIVERSITY HEALTH
1049047OtherUNITED HEALTHCARE
2234930787-01OtherNJHEALTHFIRST
76308OtherAETNA USHEALTHCARE
3263314OtherNJGHI (EMBLEM HEALTH) EPO & PPO
60015958OtherNJHORIZON NJ HEALTH# FOR GROUP-SANFORD HEIGHTS HEARING CENTER
223493078OtherNJBLUE CROSS BLUE SHIELD
223493078OtherHORIZON NJ PLUS
223493078OtherNJMAGNACARE
22794OtherAMERIGROUP
60015959OtherNJHORIZON NJ HEALTH
10010490702OtherNJUNITED HEALTHCARE COMMUNITY PLAN
2233090OtherNJCIGNA
5352908MedicaidNJ
223493078OtherNJMULTIPLAN
3909479000OtherNJAMERIHEALTH
ES000011801OtherAMERICHOICE
P-1119064OtherNJOXFORD
223493078OtherNJTRICARE
OK7895OtherHEALTHNET OF NEW JERSEY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000009 NJ Practitioner - Qualified Audiologist 3779519293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00021100NJMDAudiologist
25MG00059100NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Nti Audiology Audiologist Current Accepting new patients
Sanford Heights Hearing Center Audiologist CurrentSince Jul 15, 2002 Accepting new patients

Locations

50 Newark Ave
Ste 108
Belleville, NJ 07109
Phone (646) 632-2997

1984 Springfield Ave
Maplewood, NJ 07040
Phone (973) 275-1006

1984 Springfield Ave
#C
Maplewood, NJ 07040
Phone (973) 275-1006

1984 Springfield Ave
Fl 1
Maplewood, NJ 07040
Phone (973) 275-1006

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1336354794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 SPRINGFIELD AVENUE",
            "address_2": "1ST FLOOR",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-275-1006",
            "fax_number": "973-275-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 SPRINGFIELD AVENUE",
            "address_2": "1ST FLOOR",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-275-1006",
            "fax_number": "973-275-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "IRENE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00021100",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00059100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH",
            "identifier": "17996",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1049047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "2234930787-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "76308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI (EMBLEM HEALTH) EPO & PPO",
            "identifier": "3263314",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH# FOR GROUP-SANFORD HEIGHTS HEARING CENTER",
            "identifier": "60015958",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "223493078",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ PLUS",
            "identifier": "223493078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "223493078",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "22794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60015959",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE COMMUNITY PLAN",
            "identifier": "10010490702",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2233090",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5352908",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "223493078",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3909479000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "ES000011801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P-1119064",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "223493078",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF NEW JERSEY",
            "identifier": "OK7895",
            "state": null
        }
    ],
    "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 Nov 27, 2013; 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.