Provider Demographics
NPI:1508610791
Name:ONI, LUKE O (MBBS, MBA)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:O
Last Name:ONI
Suffix:
Gender:M
Credentials:MBBS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MAHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-3252
Mailing Address - Country:US
Mailing Address - Phone:856-986-8237
Mailing Address - Fax:
Practice Address - Street 1:4 MAHLEY AVE
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-3252
Practice Address - Country:US
Practice Address - Phone:856-986-8237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No1744R1102XOther Service ProvidersSpecialistResearch Study
No171400000XOther Service ProvidersHealth & Wellness Coach