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CHIDIMMA NWAOGWUGWU PA-C NPI 1063984938


NPI Information

NPI: 1063984938
Provider Name: CHIDIMMA NWAOGWUGWU, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
617 BROAD ST
NEWARK, NJ
ZIP 07102
Phone: (862) 246-7940
Get Directions

Chidimma Nwaogwugwu, PA-C is a medical physician assistant in Newark, NJ with 6 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 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.