| Raphael Oluseun Odekunle, MD | |
|
181 Franklin Ave Ste 301, Nutley, NJ 07110-2900 | |
| (973) 320-2625 | |
| (973) 320-2626 |
| Full Name | Raphael Oluseun Odekunle |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 181 Franklin Ave Ste 301, Nutley, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497108690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 300854 (New York) | Primary |
| Entity Name | Newark Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539 |
| Entity Name | Browne Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851733349 PECOS PAC ID: 9032347281 Enrollment ID: O20140114001594 |
| Entity Name | Odek Medical Care & Consulting Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548004849 PECOS PAC ID: 4082155544 Enrollment ID: O20240924002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Oluseun Odekunle, MD 181 Franklin Ave Ste 301, Nutley, NJ 07110-2900 Ph: (973) 320-2625 | Raphael Oluseun Odekunle, MD 181 Franklin Ave Ste 301, Nutley, NJ 07110-2900 Ph: (973) 320-2625 |
Ms. Kayla Marie Yanga, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 88 Park Ave Ste 1a, Nutley, NJ 07110 Phone: 908-450-7002 | |
Daniel Meshoyrer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 249 Franklin Ave, Nutley, NJ 07110 Phone: 973-542-1106 | |
Dr. Anthony M Pastena, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 249 Franklin Ave, Nutley, NJ 07110 Phone: 973-542-1106 Fax: 973-542-1172 | |
Dr. Steven T Sekiya, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 175 Franklin Ave Ste 103, Nutley, NJ 07110 Phone: 973-759-6569 Fax: 973-759-2562 |