Chukwuemeka Ibeku, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA072747 Issued in NJ

Practice address

940 Stuyvesant Ave
Suite 2
Union, NJ 07083-6906

Phone

(908) 686-9440

Fax

(908) 686-9445

NPI assigned

Jun 10, 2006

Sex

Male

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Psychiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifecare Family Doctors, PC

  • Primary Care Clinic/Center
  • Union, NJ
  • NPI 1952349532
  Medicare reassignment Authorized official
• Divine Mental Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
  • NPI 1659076123
  NPD
• CMC Housestaff

  dba St Vincents Catholic Medical Center

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1063572212
  NPD (past)
• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1093851990
  NPD (past)
• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1023059722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070800861",
            "telephone_number": "908-686-9440",
            "fax_number": "908-686-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 STUYVESANT AVE",
            "address_2": "SUITE 2",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836906",
            "telephone_number": "908-686-9440",
            "fax_number": "908-686-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEKU",
        "first_name": "CHUKWUEMEKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA072747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022381",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahboob Hussain, M.D.,
• Andrew Hylton
• Martin C Hyman, M.D.
• Maria F Iamurri
• Chikaodi C Ibeku
• Rovan Sameh Ibrahim
• Ideal Specialty Apothecary (Ideal Pharmacy)
• Preethi Idiculla, NP
• Daniel Idrovo
• Iroka Ji Ifegwu

• Family Medicine Physician in Union, NJ
• Providers in Union, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.