Active NPI
Anthony Ifeanyi Oleka
- Occupational Therapy Assistant
- Irvington, NJ
National Provider Identifier
1407409790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 009568
- Practice address
- 1786 Manor Dr Apt B
Irvington, NJ 07111-1045 - Phone
- (862) 218-4241
- NPI assigned
- Jul 17, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09165500 | NJ | |
| Occupational Therapy Assistant | 224Z00000X | 009568 | NY | Primary |
Addresses
Primary practice location
1786 Manor Dr Apt B
Irvington, NJ 07111-1045
Mailing address
1786 Manor Dr Apt B
Irvington, NJ 07111-1045
Phone (862) 218-4241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009568 | NY | MD | Optometrist |
| 46TA09165500 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1407409790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 MANOR DR APT B",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111045",
"telephone_number": "862-218-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 MANOR DR APT B",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111045",
"telephone_number": "862-218-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEKA",
"first_name": "ANTHONY",
"middle_name": "IFEANYI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09165500",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "009568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.