Provider Demographics
NPI:1659893014
Name:OKOYE, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:OKOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 HAMILTON ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3140
Mailing Address - Country:US
Mailing Address - Phone:732-325-0098
Mailing Address - Fax:732-325-0098
Practice Address - Street 1:873 HAMILTON STREET UNIT A
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-325-0098
Practice Address - Fax:732-325-0098
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator