| Odek Medical Care & Consulting Services | |
|
181 Franklin Ave Ste 301 Nutley NJ 07110-2900 | |
| (973) 320-2625 | |
| (973) 320-2626 |
| Full Name | Odek Medical Care & Consulting Services |
|---|---|
| Speciality | Family Medicine |
| Location | 181 Franklin Ave Ste 301, Nutley, New Jersey |
| Authorized Official Name and Position | Raphael Odekunle (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8623575986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odek Medical Care & Consulting Services 181 Franklin Ave Ste 301 Nutley NJ 07110-2900 Ph: (973) 320-2625 | Odek Medical Care & Consulting Services 181 Franklin Ave Ste 301 Nutley NJ 07110-2900 Ph: (973) 320-2625 |
| NPI Number | 1548004849 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 12/10/2024 |
| Medicare PECOS PAC ID | 4082155544 |
|---|---|
| Medicare Enrollment ID | O20240924002615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548004849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raphael Odekunle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497108690 PECOS PAC ID: 2264760412 Enrollment ID: I20190826002014 |
Divine Grace Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Bloomfield Ave, Nutley, NJ 07110 Phone: 973-235-1772 Fax: 973-235-1774 | |
Dr Anthony M Pastena Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Franklin Ave, Nutley, NJ 07110 Phone: 973-542-0384 Fax: 973-542-1172 | |
Michael F. Durante, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8640 | |
James V Agresti Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Ste 201, Nutley, NJ 07110 Phone: 973-284-0777 | |
Maryann Alessio Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 349 Passaic Ave, Nutley, NJ 07110 Phone: 973-667-8889 Fax: 973-667-5665 | |
Infectious Diseases North Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8117 | |
Itserga Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Franklin Ave, Suite#201, Nutley, NJ 07110 Phone: 973-284-0777 Fax: 973-284-1530 |