Active NPIIndividual provider

Tiffany C Ezepue, MD

Physical Medicine & Rehabilitation, Pain Medicine in Newark, New Jersey

NPI Number1558940338
Practice location
185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757
Fax
—
Last updated
September 15, 2026

Tiffany Chinyelu Ezepue is a Physical Medicine & Rehabilitation, Pain Medicine based in Newark, NJ. Tiffany Chinyelu Ezepue practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Tiffany Chinyelu Ezepue is 1558940338 and holds a License No. 25MA13090200 (NJ). The current practice location address for Tiffany Chinyelu Ezepue is 185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-5018.

Provider Profile Details

NPI Number
1558940338
Provider Name
Tiffany Chinyelu Ezepue
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757
Phone Number
973-972-5018
Sole Proprietor
No
Provider Enumeration Date
April 7, 2021
Last Update Date
September 15, 2026
Certification Date
September 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 S Orange Ave Bldg G-595
Newark, NJ 07103-2757
City
Newark
Zip
07103-2757
Phone Number
973-972-5018
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
185 S Orange Ave Bldg G-595
Newark, NJ 07103-2757
City
Newark
State
NJ
Zip
07103-2757
Phone Number
973-972-5018

License Information

License Number
25MA13090200
License State
NJ
Taxonomy
Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X · Primary

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 Tiffany C Ezepue, MD?

The NPI number of Tiffany C Ezepue, MD is 1558940338. It was assigned on April 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Tiffany C Ezepue, MD?

Tiffany C Ezepue, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pain Medicine (code 2081P2900X), licensed in NJ under license number 25MA13090200.

Where does Tiffany C Ezepue, MD practice?

The practice location is 185 S Orange Ave Bldg G-595, Newark, NJ 07103-2757. The office can be reached at 973-972-5018 (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 1558940338 directly on the NPPES registry website.

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