Hypertension Clinic PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA61755 Issued in NJ

Legal business name

HYPERTENSION CLINIC PC

Practice address

60 Northfield Ave
West Orange, NJ 07052-5336

Phone

(973) 731-1919

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Odler R Jeanlouie, MDNPI 1881655686

Title

Owner

Phone

(973) 731-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Odler Jeanlouie, MD

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1881655686
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1770530529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525336",
            "telephone_number": "973-731-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525336",
            "telephone_number": "973-731-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERTENSION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "JEANLOUIE",
        "authorized_official_first_name": "ODLER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-731-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA61755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7910304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy C Hussain, APN
• Sarah Hussain, M.D.
• Julia Marie Hussey
• Andrew M Hutter, M.D.
• Vivian Hyeon Hwangbo, DMD
• Clara M Hyun, DMD
• Yasser Ibrahim, RPH
• Jose Ignacio
• Maria D Ignacio, OTRCHT
• Uche Ihe

• Nephrology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.