Active NPIIndividual provider

Dr. Nneoma Okoronkwo, MD

Internal Medicine, Gastroenterology in Fair Lawn, New Jersey

NPI Number1770864704
Practice location
22-02 Broadway # 301, Fair Lawn, NJ 07410-3016
Fax
—
Last updated
October 9, 2024

Nneoma Okoronkwo is an Internal Medicine, Gastroenterology based in Fair Lawn, NJ. Nneoma Okoronkwo practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Nneoma Okoronkwo is 1770864704 and holds a License No. 25MA09752000 (NJ). The current practice location address for Nneoma Okoronkwo is 22-02 Broadway # 301, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 201-414-5732.

Provider Profile Details

NPI Number
1770864704
Provider Name
Nneoma Okoronkwo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22-02 Broadway # 301, Fair Lawn, NJ 07410-3016
Phone Number
201-414-5732
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
September 3, 2011
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-02 Broadway # 301
Fair Lawn, NJ 07410-3016
Zip
07410-3016
Phone Number
201-414-5732
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
22-02 Broadway # 301
Fair Lawn, NJ 07410-3016
City
Fair Lawn
State
NJ
Zip
07410-3016
Phone Number
201-414-5732

License Information

License Number (1)
25MA09752000
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA09752000
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · 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 Dr. Nneoma Okoronkwo, MD?

The NPI number of Dr. Nneoma Okoronkwo, MD is 1770864704. It was assigned on September 3, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Nneoma Okoronkwo, MD?

Dr. Nneoma Okoronkwo, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA09752000.

Where does Dr. Nneoma Okoronkwo, MD practice?

The practice location is 22-02 Broadway # 301, Fair Lawn, NJ 07410-3016. The office can be reached at 201-414-5732 (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 1770864704 directly on the NPPES registry website.

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