Chidimma Nwaogwugwu, PA-C
Physician Assistant, Medical in Newark, New Jersey
1063984938- Practice location
- 617 Broad St, Newark, NJ 07102-4403
- Phone
- 862-246-7940
- Fax
- 862-246-7941
- Last updated
- February 13, 2024
Chidimma Nwaogwugwu is a Physician Assistant, Medical based in Newark, NJ. Chidimma Nwaogwugwu practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Chidimma Nwaogwugwu is 1063984938 and holds a License No. 25MP00619400 (NJ). The current practice location address for Chidimma Nwaogwugwu is 617 Broad St, Newark, NJ 07102-4403 and can be reached out via phone at 862-246-7940 and via fax at 862-246-7941.
Provider Profile Details
- NPI Number
- 1063984938
- Provider Name
- Chidimma Nwaogwugwu
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 617 Broad St, Newark, NJ 07102-4403
- Phone Number
- 862-246-7940
- Fax Number
- 862-246-7941
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 17, 2018
- Last Update Date
- February 13, 2024
- Certification Date
- February 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 617 Broad St
Newark, NJ 07102-4403 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4403
- Phone Number
- 862-246-7940
- Fax Number
- 862-246-7941
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
License Information
- License Number (1)
- 25MP00619400
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- 022953
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Chidimma Nwaogwugwu, PA-C?
The NPI number of Chidimma Nwaogwugwu, PA-C is 1063984938. It was assigned on December 17, 2018 and is currently active in the NPPES registry.
What is the specialty of Chidimma Nwaogwugwu, PA-C?
Chidimma Nwaogwugwu, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00619400.
Where does Chidimma Nwaogwugwu, PA-C practice?
The practice location is 617 Broad St, Newark, NJ 07102-4403. The office can be reached at 862-246-7940 (phone) or 862-246-7941 (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 1063984938 directly on the NPPES registry website.