Active NPI
Ephrem Odoy Olweny, M.D.
- Urology Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA09055000
- Practice address
- 1 Metro Blvd
Clifton, NJ 07014 - Phone
- (973) 230-6666
- Fax
- (973) 230-6686
- NPI assigned
- Dec 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A95265 | CA | |
| Urology Physician | 208800000X | N6549 | TX | |
| Urology Physician | 208800000X | 25MA09055000 | NJ | Primary |
Addresses
Primary practice location
1 Metro Blvd
Clifton, NJ 07014
Mailing address
331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01117743 | Other | NJ | RAILROAD MEDICARE |
| 0302872 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Washington University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Metro Blvd
Clifton, NJ 07014-0010
20 Prospect Ave
Hackensack, NJ 07601-1997
20 Prospect Ave
Hackensack, NJ 07601-1999
30 Prospect Ave
Hackensack, NJ 07601-1915
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 868-6755
Hospital & facility affiliations
- Hackensack University Medical Center
- Rush Oak Park Hospital
- Rush University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95265 | CA | MD | Urology Physician |
| N6549 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Urology | Current | Accepting new patients |
| Rush University Medical Group | Urology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Urology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
610 S Maple Ave
Ste 3450
Oak Park, IL 60304
Phone (312) 563-3447
1 Metro Blvd
Clifton, NJ 07014
Phone (973) 230-6666
360 Essex St
Ste 403
Hackensack, NJ 07601
Phone (551) 996-8090
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- eolweny169582@direct.rush.rush-health.com
Organizations & group practices 5
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Urology
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1821272006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD",
"address_2": "BLDG 2, STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 METRO BLVD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07014",
"telephone_number": "973-230-6666",
"fax_number": "973-230-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLWENY",
"first_name": "EPHREM",
"middle_name": "ODOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-23",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A95265",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "N6549",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA09055000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01117743",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0302872",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.