Active NPIIndividual provider

Ifeanyichukwu D Adibemma, MD

Student in an Organized Health Care Education/Training Program in Summit, New Jersey

NPI Number1164361416
Practice location
99 Beauvoir Ave, Summit, NJ 07901-3533
Fax
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Last updated
March 25, 2026

Ifeanyichukwu Dereck Adibemma is a Student in an Organized Health Care Education/Training Program based in Summit, NJ. Ifeanyichukwu Dereck Adibemma practices in Summit, NJ and has the professional credentials of MD. The NPI Number for Ifeanyichukwu Dereck Adibemma is 1164361416. The current practice location address for Ifeanyichukwu Dereck Adibemma is 99 Beauvoir Ave, Summit, NJ 07901-3533 and can be reached out via phone at 908-522-2000.

Provider Profile Details

NPI Number
1164361416
Provider Name
Ifeanyichukwu Dereck Adibemma
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Beauvoir Ave, Summit, NJ 07901-3533
Phone Number
908-522-2000
Sole Proprietor
No
Provider Enumeration Date
March 25, 2026
Last Update Date
March 25, 2026
Certification Date
March 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Beauvoir Ave
Summit, NJ 07901-3533
City
Summit
Zip
07901-3533
Phone Number
908-522-2000
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
1462 Gregory Ave
Union, NJ 07083-5541
City
Union
State
NJ
Zip
07083-5541

License Information

License State
NJ

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 Ifeanyichukwu D Adibemma, MD?

The NPI number of Ifeanyichukwu D Adibemma, MD is 1164361416. It was assigned on March 25, 2026 and is currently active in the NPPES registry.

What is the specialty of Ifeanyichukwu D Adibemma, MD?

Ifeanyichukwu D Adibemma, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Ifeanyichukwu D Adibemma, MD practice?

The practice location is 99 Beauvoir Ave, Summit, NJ 07901-3533. The office can be reached at 908-522-2000 (phone).

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 1164361416 directly on the NPPES registry website.

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