1336354794 NPI number — DR. IRENE N OKEKE AUD

Table of content: DR. IRENE N OKEKE AUD (NPI 1336354794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336354794 NPI number — DR. IRENE N OKEKE AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OKEKE
Provider First Name:
IRENE
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336354794
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1984 SPRINGFIELD AVENUE
Provider Second Line Business Mailing Address:
1ST FLOOR
Provider Business Mailing Address City Name:
MAPLEWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-275-1006
Provider Business Mailing Address Fax Number:
973-275-1106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1984 SPRINGFIELD AVENUE
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
MAPLEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-275-1006
Provider Business Practice Location Address Fax Number:
973-275-1106
Provider Enumeration Date:
05/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  41YA00021100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X , with the licence number: 25MG00059100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2233090 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 223493078 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2234930787-01 . This is a "HEALTHFIRST" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1049047 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223493078 . This is a "HORIZON NJ PLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223493078 . This is a "TRICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 17996 . This is a "UNIVERSITY HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223493078 . This is a "MULTIPLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 22794 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3263314 . This is a "GHI (EMBLEM HEALTH) EPO & PPO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: ES000011801 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: OK7895 . This is a "HEALTHNET OF NEW JERSEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5352908 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 223493078 . This is a "MAGNACARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3909479000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 60015958 . This is a "HORIZON NJ HEALTH# FOR GROUP-SANFORD HEIGHTS HEARING CENTER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 60015959 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P-1119064 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 10010490702 . This is a "UNITED HEALTHCARE COMMUNITY PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 76308 . This is a "AETNA USHEALTHCARE" identifier . This identifiers is of the category "OTHER".




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