Active NPI
Atim Ekong Okengwu, PT
- Physical Therapist
- Linden, NJ
National Provider Identifier
1871733394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40QA007134
- Practice address
- Delaire Nursing and Convalescent Center
400 West Stimpson Ave
Linden, NJ 07036-4499 - Phone
- (908) 862-3399
- Fax
- (908) 862-6967
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40QA007134 | NJ | Primary |
Addresses
Primary practice location
Delaire Nursing and Convalescent Center
400 West Stimpson Ave
Linden, NJ 07036-4499
Mailing address
14 Zirkel Ave
Piscataway, NJ 08854-5714
Phone (732) 463-0187
Other names 1
- Miss Atim Ekong Okengwu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40QA007134 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Foundation for HIV/AIDS & Kidney Dialysis Inc. | Past | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
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 and National Provider Directory roles.
-
dba FHAK. Inc. (501(c)(3) Public Charity Status)
- Ambulance
- Piscataway, NJ
- NPI 1346484995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1871733394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ZIRKEL AVE",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088545714",
"telephone_number": "732-463-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DELAIRE NURSING AND CONVALESCENT CENTER",
"address_2": "400 WEST STIMPSON AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070364499",
"telephone_number": "908-862-3399",
"fax_number": "908-862-6967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKENGWU",
"first_name": "ATIM",
"middle_name": "EKONG",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT40QA007134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ATIM",
"last_name": "OKENGWU",
"middle_name": "EKONG",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.