Individual provider Active NPI

Iroka Ji Ifegwu

  • Nurse Practitioner
  • Union, NJ
National Provider Identifier
1063120004
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022026983 Issued in NJ
Practice address
2660 Hawthorne Ave
Union, NJ 07083-4928
Phone
(908) 265-1691
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022026983 NJ Primary

Addresses

Primary practice location

2660 Hawthorne Ave
Union, NJ 07083-4928

Mailing address

2660 Hawthorne Ave
Union, NJ 07083-4928
Phone (908) 265-1691

Other names 1

  • Miss Joy Ji Orji Former name

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
I20231122003442 NJ Practitioner - Nurse Practitioner 5395193775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Health Services PCGroup PAC ID 3072864610, 3 clinicians

Practice addresses (Care Compare)

186 W Market St
Suite 112 113
Newark, NJ 07103-2783
Phone (973) 306-4367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022026983NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMM Health Services CurrentSince Jan 1, 2025 Accepting new patients
Divine Restorators Psychiatric Services CurrentSince Jun 30, 2024 Accepting new patients
All Health Services PC CurrentSince Aug 15, 2023 Accepting new patients

Locations

596 Anderson Ave
Ste 305
Cliffside Park, NJ 07010
Phone (201) 654-4086

96 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 681-5066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1063120004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 HAWTHORNE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834928",
            "telephone_number": "908-265-1691",
            "fax_number": "908-687-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HAWTHORNE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834928",
            "telephone_number": "908-265-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFEGWU",
        "first_name": "IROKA",
        "middle_name": "JI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "2022026983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "ORJI",
            "middle_name": "JI",
            "prefix": "MISS",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.