Odek Medical Care & Consulting Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ODEK MEDICAL CARE & CONSULTING SERVICES

Practice address

181 Franklin Ave Ste 301
Nutley, NJ 07110-2900

Phone

(973) 320-2625

Fax

(973) 320-2626

NPI assigned

Jun 21, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raphael OdekunleNPI 1497108690

Title

Authorized Official

Phone

(862) 357-5986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raphael Oluseun Odekunle, MD

  • Family Medicine Physician
  • Nutley, NJ
  • NPI 1497108690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1548004849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE STE 301",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102900",
            "telephone_number": "973-320-2625",
            "fax_number": "973-320-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE STE 301",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102900",
            "telephone_number": "973-320-2625",
            "fax_number": "973-320-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODEK MEDICAL CARE & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "ODEKUNLE",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "862-357-5986"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutley Vascular Clinic
• Nutley Vision
• Nutley Vision LLC
• Nutley Volunteer Emergency Rescue Squad (Nutley Emergency & Rescue Squad)
• Ny NM Chiropractic Wellness PC
• Raphael Oluseun Odekunle, MD
• Bruce Ollins, D.M.D.
• Gabriel Jared Ollins, D.D.S
• Omega Medical Group, P.C.
• Oncology Associates of North Jersey Limited Liability Company

• Family Medicine Physician in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.