Chizoba O Mbachu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00795300 Issued in NJ

Practice address

17 Hemingway LN
Columbus, NJ 08022-2325

Phone

(609) 424-4264

NPI assigned

Mar 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Catholic Charities, Diocese of Trenton

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1306888656

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1083117154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HEMINGWAY LN",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222325",
            "telephone_number": "609-424-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HEMINGWAY LN",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222325",
            "telephone_number": "609-424-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBACHU",
        "first_name": "CHIZOBA",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00795300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&M Smiles LLC
• Maria Bruni Maiorino, D.M.D.
• Mansfield Family Dentistry,PA
• Mansfield Township Ambulance Corps
• Vicki Mansure, LPC
• Hannah McIntyre, DC
• Brennan Meeler, PT, DPT
• Merakey New Jersey
• Brett Michener, MPT,CSCS
• Danielle Morris, PT, DPT

• All providers in Columbus, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.