| Dr Ephrem Odoy Olweny, MD | |
|
1 Metro Blvd, Clifton, NJ 07014 | |
| (973) 230-6666 | |
| (973) 230-6686 |
| Full Name | Dr Ephrem Odoy Olweny |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 1 Metro Blvd, Clifton, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821272006 | NPI | - | NPPES |
| P01117743 | Other | NJ | RAILROAD MEDICARE |
| 0302872 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A95265 (California) | Secondary |
| 208800000X | Urology | N6549 (Texas) | Secondary |
| 208800000X | Urology | 25MA09055000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush University Medical Center | Chicago, IL | Hospital |
| Rush Oak Park Hospital | Oak park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush University Medical Group | 5496658874 | 1134 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ephrem Odoy Olweny, MD 331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688 Ph: () - | Dr Ephrem Odoy Olweny, MD 1 Metro Blvd, Clifton, NJ 07014 Ph: (973) 230-6666 |
Venkata Koteswararao Marella, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1033 Clifton Ave, Clifton, NJ 07013 Phone: 973-473-5700 Fax: 973-473-3367 | |
Dr. Mendley A Wulfsohn, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1033 Clifton Ave, Clifton, NJ 07013 Phone: 973-473-5700 Fax: 973-473-3367 | |
Dr. Karl Joseph Coutinho, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1373 Broad St Ste 311, Clifton, NJ 07013 Phone: 201-201-3456 Fax: 201-581-1001 | |
Mr. Leonard Staller, P.A. Urology Medicare: Accepting Medicare Assignments Practice Location: 1033 Clifton Ave, Clifton, NJ 07013 Phone: 973-473-5700 Fax: 973-473-3367 | |
Dr. Christopher Raymond Koller, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1 Metro Blvd, Clifton, NJ 07014 Phone: 973-230-6666 Fax: 973-230-6686 | |
Dr. Joel W Rosenberg, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 721 Clifton Ave, Clifton, NJ 07013 Phone: 973-778-7988 |