Individual provider Active NPI

Chioma A Ezeadichie, D.O

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hammonton, NJ
National Provider Identifier
1023267465
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MB08977000 Issued in NJ
Practice address
2 8TH St
Hammonton, NJ 08037-3347
Phone
(888) 985-2727
NPI assigned
Sep 10, 2008
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000462 NJ Practitioner - Physical Medicine and Rehabilitation 8921243767 Reassigns benefits to 1 organization

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
Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
25MB08977000NJMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain LLC Pain Medicine CurrentSince Feb 11, 2013 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Feb 11, 2013 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.