Provider Demographics
NPI:1962003293
Name:ONCALL HEALTH OF NJ, PC
Entity Type:Organization
Organization Name:ONCALL HEALTH OF NJ, PC
Other - Org Name:CAYABA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/CEO/CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:OLANREWAJU
Authorized Official - Middle Name:ALADE
Authorized Official - Last Name:SOREMEKUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-831-4970
Mailing Address - Street 1:1575 N 52ND ST SPC 801
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4736
Mailing Address - Country:US
Mailing Address - Phone:267-668-2256
Mailing Address - Fax:833-518-1887
Practice Address - Street 1:1575 N 52ND ST SPC 801
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4736
Practice Address - Country:US
Practice Address - Phone:267-668-2256
Practice Address - Fax:833-518-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6902326OtherAETNA
PA1038755850001Medicaid
PA1038755850002Medicaid
NJ0771074Medicaid
PA4587638OtherHIGHMARK BCBS