Active NPI
Chioma A Ezeadichie, D.O
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hammonton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MB08977000
- Practice address
- 2 8TH St
Hammonton, NJ 08037-3347 - Phone
- (888) 985-2727
- NPI assigned
- Sep 10, 2008
- Last updated
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MB08977000 | NJ | Primary |
Addresses
Primary practice location
2 8TH St
Hammonton, NJ 08037-3347
Mailing address
PO Box 7776
Lancaster, PA 17604-7776
Phone (888) 985-2727
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 Mantua Pike
Woodbury Heights, NJ 08097-1142
Phone (888) 985-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.69 of 100
- Quality
- 69.54
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08977000 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine and Pain LLC | Pain Medicine | Current | Accepting new patients |
| Advanced Spine and Pain, LLC | Current | Accepting new patients | |
| Advanced Spine and Pain, LLC | Past | Accepting new patients |
Locations
429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111
2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500
27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 575-1100
227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562
1820 Corlies Ave
Ste 10A
Neptune City, NJ 07753
Phone 8889852727 ext. 610
4307 Westfield Ave
Pennsauken, NJ 08110
Phone (856) 488-0222
310 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-4500
415 W Landis Ave
Ste 102
Vineland, NJ 08360
Phone (609) 653-9110
750 Mantua Pike
Woodbury Hts, NJ 08097
Phone (215) 694-5261
Interoperability endpoints
- chioma.ezeadichie.1@11679.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Relievus
- Interventional Pain Medicine Physician
- Hammonton, NJ
- NPI 1730359084
-
- Pain Medicine Physician
- Phoenixville, PA
- NPI 1740996586
-
dba Relievus
- Pain Medicine Physician
- Egg Harbor Township, NJ
- NPI 1447885116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1023267465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7776",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176047776",
"telephone_number": "888-985-2727",
"fax_number": "856-779-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 8TH ST",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080373347",
"telephone_number": "888-985-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEADICHIE",
"first_name": "CHIOMA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MB08977000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.