Individual provider Active NPI

Philomena Ifeyinwa Chinemelu, APN

  • Family Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1013222637
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00290300 Issued in NJ
Practice address
26 Domino Rd
Somerset, NJ 08873-4133
Phone
(732) 764-0674
Fax
(732) 764-0482
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00290300 NJ Primary

Addresses

Primary practice location

26 Domino Rd
Somerset, NJ 08873-4133

Mailing address

26 Domino Rd
Somerset, NJ 08873-4133
Phone (732) 764-0674

Other identifiers 1

IdentifierTypeStateIssuer
0249467MedicaidNJ

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000556 NJ Practitioner - Nurse Practitioner 8224218847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

394 University Ave
Newark, NJ 07102-1221
Phone (973) 424-4271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Newark CurrentSince Nov 1, 2021 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Oct 3, 2011 Accepting new patients
City of Newark CurrentSince Nov 1, 2021 Accepting new patients
City of Newark Past Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Past Accepting new patients
My Home Doctor, LLC Past Accepting new patients
City of Newark Past Accepting new patients

Locations

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

394 University Ave
Newark, NJ 07102
Phone (800) 734-7083

110 William St
Newark, NJ 07102
Phone (973) 424-4271

701 S Orange Ave
Newark, NJ 07106
Phone (800) 734-7083

Interoperability endpoints

  • Direct secure messaging: philomena.chinemelu.p1@direct.memhc.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1013222637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DOMINO RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734133",
            "telephone_number": "732-764-0674",
            "fax_number": "732-764-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DOMINO RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734133",
            "telephone_number": "732-764-0674",
            "fax_number": "732-764-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEMELU",
        "first_name": "PHILOMENA",
        "middle_name": "IFEYINWA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00290300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249467",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.