Provider Demographics
NPI:1336354794
Name:OKEKE, IRENE N (AUD)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:N
Last Name:OKEKE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1984 SPRINGFIELD AVENUE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040
Mailing Address - Country:US
Mailing Address - Phone:973-275-1006
Mailing Address - Fax:973-275-1106
Practice Address - Street 1:1984 SPRINGFIELD AVENUE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040
Practice Address - Country:US
Practice Address - Phone:973-275-1006
Practice Address - Fax:973-275-1106
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00021100231H00000X
NJ25MG00059100237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2233090OtherCIGNA
NJ223493078OtherBLUE CROSS BLUE SHIELD
NJ2234930787-01OtherHEALTHFIRST
1049047OtherUNITED HEALTHCARE
223493078OtherHORIZON NJ PLUS
NJ223493078OtherTRICARE
17996OtherUNIVERSITY HEALTH
NJ223493078OtherMULTIPLAN
22794OtherAMERIGROUP
NJ3263314OtherGHI (EMBLEM HEALTH) EPO & PPO
ES000011801OtherAMERICHOICE
OK7895OtherHEALTHNET OF NEW JERSEY
NJ5352908Medicaid
NJ223493078OtherMAGNACARE
NJ3909479000OtherAMERIHEALTH
NJ60015958OtherHORIZON NJ HEALTH# FOR GROUP-SANFORD HEIGHTS HEARING CENTER
NJ60015959OtherHORIZON NJ HEALTH
NJP-1119064OtherOXFORD
NJ10010490702OtherUNITED HEALTHCARE COMMUNITY PLAN
76308OtherAETNA USHEALTHCARE
OK219158Medicare UPIN