Active NPIIndividual provider

Ikechukwu Okereke

Internal Medicine in Montclair, New Jersey

NPI Number1639797418
Practice location
1 Bay Avenue, Montclair, NJ 07042-2033
Fax
—
Last updated
June 25, 2023

Ikechukwu Okereke is an Internal Medicine based in Montclair, NJ. Ikechukwu Okereke practices in Montclair, NJ. The NPI Number for Ikechukwu Okereke is 1639797418 and holds a License No. 105709-01 (NY). The current practice location address for Ikechukwu Okereke is 1 Bay Avenue, Montclair, NJ 07042-2033 and can be reached out via phone at 973-429-6000.

Provider Profile Details

NPI Number
1639797418
Provider Name
Ikechukwu Okereke
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Avenue, Montclair, NJ 07042-2033
Phone Number
973-429-6000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2020
Last Update Date
June 25, 2023
Certification Date
June 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Avenue
Montclair, NJ 07042-2033
Zip
07042-2033
Phone Number
973-429-6000
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
529 Beach 20TH St
Far Rockaway, NY 11691-3615
City
Far Rockaway
State
NY
Zip
11691-3615
Phone Number
718-327-7307
Fax Number
718-327-3294

License Information

License Number (1)
105709-01
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
p105709
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X · 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 Ikechukwu Okereke?

The NPI number of Ikechukwu Okereke is 1639797418. It was assigned on July 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Ikechukwu Okereke?

Ikechukwu Okereke is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 105709-01.

Where does Ikechukwu Okereke practice?

The practice location is 1 Bay Avenue, Montclair, NJ 07042-2033. The office can be reached at 973-429-6000 (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 1639797418 directly on the NPPES registry website.

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