Individual provider Active NPI

Oze Henig, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1902244593
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09855500 Issued in NJ
Practice address
3401 Civic Center Blvd
9NW63
Philadelphia, PA 19104-4319
Phone
(215) 590-1220
Fax
(215) 590-2768
NPI assigned
Jun 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09855500 NJ Primary
Pediatrics Physician 208000000X MT203894 PA

Addresses

Primary practice location

3401 Civic Center Blvd
9NW63
Philadelphia, PA 19104-4319

Mailing address

3401 Civic Center Blvd
9NW63
Philadelphia, PA 19104-4319
Phone (215) 590-1220

Other practice location 1

2225 E Evesham Rd Ste 101A
Voorhees, NJ 08043-1557
Phone (856) 795-4330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ohenig18330@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20161103001368 NJ Practitioner - Pediatric Medicine 4587942032 Reassigns benefits to 2 organizations
I20220217002838 PA Practitioner - Pediatric Medicine 4587942032 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09855500NJMDPediatrics Physician
MT203894PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Children'S Healthcare Associates of New Jersey PC Pediatrics CurrentSince Sep 10, 2016 Accepting new patients
Childen'S Health Care Associates Inc. CurrentSince Nov 13, 2021 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Childrens Health Care Associates, Inc Pediatrics CurrentSince Nov 13, 2021 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 1, 2020 Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince Sep 10, 2016 Accepting new patients
Childrens Health Care Associates of New Jersey PC Pediatrics Current Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Children'S Surgical Associates LTD Past Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

2225 E Evesham Rd
Ste 101A
Voorhees, NJ 08043
Phone (856) 795-4330

1012 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 435-0086

100 E Penn Sq
Philadelphia, PA 19107
Phone (267) 425-9234

3401 Civic Center Blvd
#9
Philadelphia, PA 19104
Phone (215) 590-2437

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1902244593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "9NW63",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-1220",
            "fax_number": "215-590-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "9NW63",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-1220",
            "fax_number": "215-590-2768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 E Evesham Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431557",
            "country_code": "US",
            "telephone_number": "856-795-4330",
            "fax_number": "856-325-3704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENIG",
        "first_name": "OZE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09855500",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT203894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohenig18330@directvirtua.org",
            "affiliation": "N",
            "address_1": "2225 E Evesham Rd Ste 101A",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.