Individual provider Active NPI

Kaneez Rehmanji Odgers, MSN, APN

  • Primary Care Nurse Practitioner
  • Totowa, NJ
National Provider Identifier
1730415118
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00254300 Issued in NJ
Practice address
525 Union Blvd
Totowa, NJ 07512-2442
Phone
(862) 229-0559
NPI assigned
Oct 20, 2009
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00254300 NJ
Acute Care Nurse Practitioner 363LA2100X 26NJ00254300 NJ
Family Nurse Practitioner 363LF0000X 26NJ00254300 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00254300 NJ Primary

Addresses

Primary practice location

525 Union Blvd
Totowa, NJ 07512-2442

Mailing address

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000439 NJ Practitioner - Nurse Practitioner 1658411475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Perioperative Medicine, P.a.Group PAC ID 1951206200, 8 clinicians

Practice addresses (Care Compare)

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00254300NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Perioperative Medicine, P.a. CurrentSince Mar 1, 2020 Accepting new patients
Orthopedic & Hand Specialists, PC Past Accepting new patients

Locations

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1730415118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "862-229-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "862-229-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODGERS",
        "first_name": "KANEEZ",
        "middle_name": "REHMANJI",
        "credential": "MSN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00254300",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00254300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00254300",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00254300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.