Individual provider Active NPI

Ephrem Odoy Olweny, M.D.

  • Urology Physician
  • Clifton, NJ
National Provider Identifier
1821272006
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA09055000 Issued in NJ
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

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01117743OtherNJRAILROAD MEDICARE
0302872MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120619000375 NJ Practitioner - Urology 2668505298 Reassigns benefits to 1 organization
I20200908003293 IL Practitioner - Urology 2668505298 Reassigns benefits to 1 organization

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
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

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 Hospital, Hackensack, NJ, CCN 310001
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A95265CAMDUrology Physician
N6549TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center Urology CurrentSince Sep 1, 2020 Accepting new patients
Rush University Medical Group Urology CurrentSince Sep 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Urology CurrentSince Jul 28, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 28, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.