Individual provider Active NPI

Dele Omije, M.D., M.S.

  • Psychiatry Physician
  • Mount Gretna, PA
National Provider Identifier
1568607471
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD442862 Issued in PA
Practice address
283 Butler Rd
Mount Gretna, PA 17064-6085
Phone
(562) 879-0278
NPI assigned
Dec 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD442862 PA Primary

Addresses

Primary practice location

283 Butler Rd
Mount Gretna, PA 17064-6085

Mailing address

PO Box 28
Huntingdon, PA 16652-0028
Phone (562) 879-0278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000205 PA Practitioner - Psychiatry 5597934166 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince May 20, 2019 Accepting new patients
Philhaven Psychiatry CurrentSince May 3, 2012 Accepting new patients
Geisinger Clinic CurrentSince May 20, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Philhaven CurrentSince May 3, 2012 Accepting new patients
Integrated Behavioral Healthcare Management Services, Inc. Psychiatry Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

283 Butler Rd
#550
Mount Gretna, PA 17064
Phone (717) 270-2451

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1568607471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166520028",
            "telephone_number": "562-879-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 BUTLER RD",
            "city": "MOUNT GRETNA",
            "state": "PA",
            "postal_code": "170646085",
            "telephone_number": "562-879-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIJE",
        "first_name": "DELE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD442862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gretna, PA

Sources for this page

Verify at the official NPI Registry.