Odler Jeanlouie, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA61755 Issued in NJ

Practice address

60 Northfield Ave
The Health Institute
West Orange, NJ 07052-5336

Phone

(973) 731-1919

Fax

(973) 731-0408

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita East Orange Dialysis Dialysis facility, East Orange, NJ, CCN 312522
• FMC Irvington Dialysis facility, Irvington, NJ, CCN 312501
• Vistacare Dialysis Center Dialysis facility, Newark, NJ, CCN 312711
• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083
• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Hypertension Clinic PC

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1770530529
  Medicare reassignment NPD Authorized official

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

• Bio-Medical Applications of New Jersey, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Irvington, NJ
  • NPI 1841394616

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidney Life, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • East Orange, NJ
  • NPI 1548299373

  Dialysis facility

  Care Compare affiliation Name & address match
• Vistacare Continuum Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Newark, NJ
  • NPI 1518477199

  Dialysis facility

  Care Compare affiliation Name & address match
• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1881655686",
    "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",
            "fax_number": "973-731-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NORTHFIELD AVE",
            "address_2": "THE HEALTH INSTITUTE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525336",
            "telephone_number": "973-731-1919",
            "fax_number": "973-731-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANLOUIE",
        "first_name": "ODLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_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": []
}

• Taira Jean-Bart, LSW
• Dania Jean-Charles, BCBA
• Nastassia Jean-Louis, PHARMD
• Kensy Jean, DC,MSACN
• Yanick E Jean, PMHNP
• Elizabeth Ann Jehle, CPNP-PC
• Jerry Transport Service
• Meenakshi Jetley, DMD
• Jewish Service for the Developmentally Disabled
• Jewish Service for the Developmentally Disabled

• 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 Jul 17, 2008; 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.

Verify at the official NPI Registry.