Individual provider Active NPI

Sandra Onukwugha, DMD

  • General Practice Dentistry
  • New Brunswick, NJ
National Provider Identifier
1043667785
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02662400 Issued in NJ
Practice address
330 Livingston Ave Ste 3
New Brunswick, NJ 08901-3469
Phone
(732) 545-5364
Fax
(732) 545-5678
NPI assigned
May 23, 2016
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02662400 NJ Primary

Addresses

Primary practice location

330 Livingston Ave Ste 3
New Brunswick, NJ 08901-3469

Mailing address

PO Box 524
Avenel, NJ 07001-0524
Phone (732) 545-5364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02662400NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1043667785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070010524",
            "telephone_number": "732-545-5364",
            "fax_number": "732-545-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LIVINGSTON AVE STE 3",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013469",
            "telephone_number": "732-545-5364",
            "fax_number": "732-545-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUKWUGHA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02662400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.