Gloria O Odoemena, RN,C, MS, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00282300 Issued in NJ

Practice address

135 Bloomfield Ave
2ND Floor, Suite L
Bloomfield, NJ 07003-5902

Phone

(973) 429-2209

Fax

(973) 429-2210

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By the provider in NPPES

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

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Community Healthcare, Inc.Group PAC ID 5193637072, 18 clinicians

City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gloria.odoemena.p1@direct.memhc.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

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.

• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1285662684
  Medicare reassignment Care Compare group NPD
• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1356561278
  Medicare reassignment Care Compare group NPD
• New Jersey Medical and Health Associates,LLC

  dba CarePoint Health Medical Group

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1558673582
  Medicare reassignment NPD
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693
  Medicare reassignment NPD
• City of Newark

  dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1972206258
  NPD
• Newark Community Health Centers, Inc

  dba Ironbound Medical & Dental Center

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1366993586
  NPD
• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1376976704
  NPD (past)
• Premier OB/GYN LLC

  • Obstetrics & Gynecology Physician
  • Bloomfield, NJ
  • NPI 1336313113
  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1386961761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEVON DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523702",
            "telephone_number": "973-243-7176",
            "fax_number": "973-833-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "address_2": "2ND FLOOR, SUITE L",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-429-2209",
            "fax_number": "973-429-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOEMENA",
        "first_name": "GLORIA",
        "middle_name": "O",
        "credential": "RN,C, MS, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00282300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Novakowski, BCBA
• Reyna Julia Nunez
• Caroline O'Boyle
• David O'Brien
• Jamie O'Connor, MA, LPC
• Adebimpe Ogunade, MA, LPC
• Margaret Anne Elizabeth Ohanian
• John Ojeda
• Gospel Nwachukwu Okoye
• Abiodun Akinola Olatubosun, APRN

• Women's Health Nurse Practitioner in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.