William Michael Ogletree, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

1501 Old Black Horse Pike Apt F9
Blackwood, NJ 08012-4927

Phone

(910) 658-3299

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Recover Physical Therapy

  • Clinic/Center
  • Blackwood, NJ
  • NPI 1194354407
  NPD Authorized official
• Recover Physical Therapy and Wellness

  • Physical Therapist
  • Laurel Springs, NJ
  • NPI 1053200162
  NPD Authorized official
• Recover Physical Therapy

  • Physical Therapy Clinic/Center
  • Yardley, PA
  • NPI 1407427370
  NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972104404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT F9",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124927",
            "telephone_number": "910-658-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT F9",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124927",
            "telephone_number": "910-658-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mogletree@bromediconllc.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Bromedicon, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 Old Black Horse Pike Apt F9",
            "city": "Blackwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080124927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Nwanonenyi
• Kathleen Ann O'Shea, APN
• Ocean Winds Counseling Service, LLC
• Mojisola Odunuga, FNP-BC
• Nicole Teresa Ogletree
• Oluwasanmi Abiodun Ojo
• Joseph E Olcese
• Brittany Rose Owens, M.D.
• Darlene Palermo
• Partners in Homecare Services LLC

• Electroneurodiagnostic Specialist/Technologist in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Electroneurodiagnostic Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.