Active NPIIndividual providerSole proprietor

Ugochukwu Ukonu

Family Medicine in Red Bank, New Jersey

NPI Number1639586845
Practice location
188 E Bergen Pl Ste 302, Red Bank, NJ 07701
Fax
732-219-6225
Last updated
September 3, 2021

Ugochukwu Ukonu is a Family Medicine based in Red Bank, NJ. Ugochukwu Ukonu practices in Red Bank, NJ. The NPI Number for Ugochukwu Ukonu is 1639586845 and holds a License No. 274346-224 (NY). The current practice location address for Ugochukwu Ukonu is 188 E Bergen Pl Ste 302, Red Bank, NJ 07701 and can be reached out via phone at 732-219-6620 and via fax at 732-219-6225.

Provider Profile Details

NPI Number
1639586845
Provider Name
Ugochukwu Ukonu
Provider Entity Type
Individual
Gender
Male
Address
188 E Bergen Pl Ste 302, Red Bank, NJ 07701
Phone Number
732-219-6620
Fax Number
732-219-6225
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2014
Last Update Date
September 3, 2021
Certification Date
September 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
188 E Bergen Pl Ste 302
Red Bank, NJ 07701
Zip
07701
Phone Number
732-219-6620
Fax Number
732-219-6225
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
City
Mattapan
State
MA
Zip
02126-2834
Phone Number
312-778-6306

License Information

License Number (1)
274346-224
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MB10071500
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Ugochukwu Ukonu?

The NPI number of Ugochukwu Ukonu is 1639586845. It was assigned on July 21, 2014 and is currently active in the NPPES registry.

What is the specialty of Ugochukwu Ukonu?

Ugochukwu Ukonu is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 274346-224.

Where does Ugochukwu Ukonu practice?

The practice location is 188 E Bergen Pl Ste 302, Red Bank, NJ 07701. The office can be reached at 732-219-6620 (phone) or 732-219-6225 (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 1639586845 directly on the NPPES registry website.

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