Active NPIIndividual providerSole proprietor

Ian Okeke, PA-C

Physician Assistant in Newark, New Jersey

NPI Number1730892225
Practice location
1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323
Fax
617-928-8401
Last updated
November 9, 2026

Ian Okeke is a Physician Assistant based in Newark, NJ. Ian Okeke practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Ian Okeke is 1730892225 and holds a License No. 029233 (NY). The current practice location address for Ian Okeke is 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323 and can be reached out via phone at 617-505-1520 and via fax at 617-928-8401.

Provider Profile Details

NPI Number
1730892225
Provider Name
Ian Okeke
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323
Phone Number
617-505-1520
Fax Number
617-928-8401
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2022
Last Update Date
November 9, 2026
Certification Date
November 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
City
Newark
Zip
07102-5323
Phone Number
617-505-1520
Fax Number
617-928-8401
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
109 State St Ste 5
Boston, MA 02109-2906
City
Boston
State
MA
Zip
02109-2906
Phone Number
617-505-1520
Fax Number
617-928-8401

License Information

License Number (1)
029233
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP01058000
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary
License Number (3)
MA064296
License State (3)
PA
Taxonomy (3)
Physician Assistant · 363A00000X
License Number (4)
8001
License State (4)
CT
Taxonomy (4)
Physician Assistant · 363A00000X
License Number (5)
10093
License State (5)
AZ
Taxonomy (5)
Physician Assistant · 363A00000X
License Number (6)
PA9116389
License State (6)
FL
Taxonomy (6)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ian Okeke, PA-C?

The NPI number of Ian Okeke, PA-C is 1730892225. It was assigned on December 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Ian Okeke, PA-C?

Ian Okeke, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 029233.

Where does Ian Okeke, PA-C practice?

The practice location is 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323. The office can be reached at 617-505-1520 (phone) or 617-928-8401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730892225 directly on the NPPES registry website.

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