NPIMap

Organization Active NPI

Oak Dynamic Healthcare

  • In Home Supportive Care Agency
  • Hillside, NJ
National Provider Identifier
1578367033
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OAK DYNAMIC HEALTHCARE
Practice address
360 Florence Ave
Ste 111
Hillside, NJ 07205
Phone
(917) 541-9238
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Ovigwenraye Kevin Emecho
Title
Owner
Phone
(917) 541-9238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

360 Florence Ave
Ste 111
Hillside, NJ 07205

Mailing address

360 Florence Ave
Ste 111
Hillside, NJ 07205

National Provider Directory

National Provider Directory
Tax ID family
Oak Dynamic Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1578367033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FLORENCE AVE",
            "address_2": "STE 111",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "07205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 FLORENCE AVE",
            "address_2": "STE 111",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "07205",
            "telephone_number": "917-541-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK DYNAMIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "EMECHO",
        "authorized_official_first_name": "OVIGWENRAYE",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-541-9238"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.