Odell Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08626600 Issued in NJ

Legal business name

ODELL FAMILY PRACTICE, LLC

Practice address

119 Avenue at the CMN Ste 2
Shrewsbury, NJ 07702-4586

Phone

(732) 460-1313

Fax

(732) 460-1333

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tamara Odell, DONPI 1356508592

Title

President

Phone

(732) 485-7515

Specialties & licenses 1

Addresses

Locations

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.

• Tamara Odell, D.O.

  • Family Medicine Physician
  • Little Silver, NJ
  • NPI 1356508592
  Authorized official Same address or phone

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1588067219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AVENUE AT THE CMN STE 2",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024586",
            "telephone_number": "732-460-1313",
            "fax_number": "732-460-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AVENUE AT THE CMN STE 2",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024586",
            "telephone_number": "732-460-1313",
            "fax_number": "732-460-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODELL FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-485-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08626600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor O'Callaghan, DPT
• Jason O'Donnell, LCSW
• Oakwood Dental Arts of Shrewsbury LLC
• Debra Obrien, MD
• Nicholas Occhipinti, DC
• Esther Ogunyemi, M.D.
• Optum Behavioral Care of New Jersey P C (Psychological and Behavioral Health Services)
• Orthopaedic Spine Specialists of NJ, LLC
• Kenan Osmanovic, MD
• Chelsea Ostrom

• Family Medicine Physician in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Oct 8, 2014; 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.