Cleveland Grover Oakes Jr.

Case Manager/Care Coordinator in Bronx, NY. Individual provider (NPI-1).

NPI number1619785698

StatusActive

Last updated in NPPESMay 8, 2025

Details

NPI: 1619785698
Entity type: Individual (NPI-1)
Name: Cleveland Grover Oakes Jr.
Sex: Male
Sole proprietor: Yes
Enumeration date: Dec 23, 2024
Certification date: May 8, 2025
Last updated: May 8, 2025

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
171M00000X	Case Manager/Care Coordinator	–	–	Yes
101YM0800X	Counselor, Mental Health	P133982	–

Practice location

422 Minnieford Ave
Bronx, NY 10464-1316

Phone 347-526-6807

Mailing address

422 Minnieford Ave
Bronx, NY 10464-1316

Phone 347-526-6807

Other practice locations

6800 Jericho Tpke
Syosset, NY 11791-4436

Phone 516-393-5966

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Bronx, NY

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