Individual provider Active NPI

Michael E. Omoh, MD

  • Emergency Medicine Physician
  • Trenton, NJ
National Provider Identifier
1922037746
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA62077 Issued in NJ
Practice address
601 Hamilton Ave
Trenton, NJ 08629-1915
Phone
(609) 599-5210
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA62077 NJ Primary

Addresses

Primary practice location

601 Hamilton Ave
Trenton, NJ 08629-1915

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300

Other identifiers 1

IdentifierTypeStateIssuer
6603301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20050224000402 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 9739132226 Reassigns benefits to 7 organizations
I20180426000062 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 9739132226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Associates of Montclair LLCGroup PAC ID 0244522241, 24 clinicians

Practice addresses (Care Compare)

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA62077NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Hill Emergency Physician Services Emergency Medicine CurrentSince Apr 25, 2021 Accepting new patients
Hudson Premier Medical PC CurrentSince Apr 1, 2021 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Stadium Emergency Associates CurrentSince Feb 11, 2016 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jan 1, 2005 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 1, 2021 Accepting new patients
Lifeco Medical, P.C. Emergency Medicine Past Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine Past Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 10

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 2

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1922037746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMILTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086291915",
            "telephone_number": "609-599-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOH",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA62077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.