CHIDIMMA NWAOGWUGWU PA-C NPI 1063984938

NPI Information

  • NPI: 1063984938
  • Provider Name: CHIDIMMA NWAOGWUGWU, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 617 BROAD ST
    NEWARK, NJ
    ZIP 07102
  • Phone: (862) 246-7940

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NPI Details

Chidimma Nwaogwugwu, PA-C is a medical physician assistant in Newark, NJ with 7 years of experience. Chidimma Nwaogwugwu, PA-C NPI is 1063984938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduation Year:2018

The provider's business location address is:

617 BROAD ST
NEWARK, NJ
ZIP 07102-403
Phone: (862) 246-7940
Fax: (862) 246-7941

The NPI 1063984938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 12/17/2018 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical25MP00619400NEW JERSEYYes
2363AM0700XPhysician AssistantMedical022953NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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