Active NPI
Ewaen Osamuyi Okao, M.D,
- Psychiatry Physician
- Atlantic City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA09235300
- Practice address
- 13 N Hartford Ave
Atlanticare Behavioral Health
Atlantic City, NJ 08401-3512 - Phone
- (609) 348-1161
- NPI assigned
- Apr 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 25MA09235300 | NJ | |
| Psychiatry Physician | 2084P0800X | MD442395 | PA | |
| Psychiatry Physician | 2084P0800X | 25MA09235300 | NJ | Primary |
Addresses
Primary practice location
13 N Hartford Ave
Atlanticare Behavioral Health
Atlantic City, NJ 08401-3512
Mailing address
661 Shrewsbury Ave
Shrewsbury, NJ 07702-4183
Phone (732) 345-3400
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1173 Beacon Ave
Suite B
Manahawkin, NJ 08050-2531
Phone (609) 597-1991
1610 Route 88
Brick, NJ 08724-3018
1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 Route 33
Neptune, NJ 07753
30 Prospect Ave
Hackensack, NJ 07601-1915
3600 Route 66
FL 3
Neptune, NJ 07753
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09235300 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients | |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Psychiatry | Current | Accepting new patients |
Locations
100 Metroplex Dr
Fl 2
Edison, NJ 08817
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
24 Nautilus Dr
Ste 2
Manahawkin, NJ 08050
Phone (609) 978-3170
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004
661 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 345-3400
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- ewaen.okao@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 5
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Psychiatry
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Psychiatry Physician
- Cherry Hill, NJ
- NPI 1891956298
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1528358652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 SHREWSBURY AVE",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024183",
"telephone_number": "732-345-3400",
"fax_number": "732-345-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 N HARTFORD AVE",
"address_2": "ATLANTICARE BEHAVIORAL HEALTH",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084013512",
"telephone_number": "609-348-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAO",
"first_name": "EWAEN",
"middle_name": "OSAMUYI",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NJ",
"license": "25MA09235300",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD442395",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA09235300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.