Chinwendu Nkechika Anukwuem, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00509100 Issued in NJ

Practice address

59 Broadway
Newark, NJ 07104-2503

Phone

(973) 268-2565

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: canukwuem@broadwayvision.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broadway Vision Services Inc.

  • Optometrist
  • Newark, NJ
  • NPI 1073721817
  Medicare reassignment NPD Authorized official
• Truway Vision Care PA

  • Optometrist
  • Orange, NJ
  • NPI 1043387178
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1003976523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042503",
            "telephone_number": "973-268-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042503",
            "telephone_number": "973-268-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUKWUEM",
        "first_name": "CHINWENDU",
        "middle_name": "NKECHIKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00509100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5344701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Antongiovanni-Frazier, MD
• Marianne Antoniello, CRNA
• Antonio a. de la Cruz, MD., PA
• Excelsis Orteza Antonio, M.D.
• Shiby Antony
• Ephesians Nkwetta Anutebeh, MD
• Martina I. Anyanwu
• Cheryl Apel, APN
• Apex Specialty Pharmacy, LLC
• Apollo Pharmacy Inc

• Optometrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.