Ocm GH 1, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

OCM GH 1, LLC

Practice address

20 Waterview Blvd
Parsippany, NJ 07054-1229

Phone

(973) 257-1000

NPI assigned

Feb 1, 2019

Organization subpart

Yes

Parent organization

ONE CALL MEDICAL, INCAs reported in NPPES

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

Authorized official

Name

Wendy Young, CPCO

Title

Director of Compliance

Phone

(469) 620-0883

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1952866196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206821",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753206821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WATERVIEW BLVD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541229",
            "telephone_number": "973-257-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCM GH 1, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE CALL MEDICAL, INC",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "469-620-0883",
        "authorized_official_credential": "CPCO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.