Active NPI
Frank Igiebor
- Chore Provider
- South River, NJ
National Provider Identifier
1083238422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- I30872670007692
- Practice address
- 27 Lark Dr
South River, NJ 08882-2605 - Phone
- (917) 449-8183
- NPI assigned
- Jun 2, 2020
- Last updated
- Aug 19, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | I30872670007692 | NJ | Primary |
Addresses
Primary practice location
27 Lark Dr
South River, NJ 08882-2605
Mailing address
27 Lark Dr
South River, NJ 08882-2605
Phone (917) 449-8183
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
| License | State | Type | Specialty |
|---|---|---|---|
| I30872670007692 | NJ | MD | Chore Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fase Health Care | Chore Provider | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chore Provider
- South River, NJ
- NPI 1104435098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1083238422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 LARK DR",
"city": "SOUTH RIVER",
"state": "NJ",
"postal_code": "088822605",
"telephone_number": "917-449-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 LARK DR",
"city": "SOUTH RIVER",
"state": "NJ",
"postal_code": "088822605",
"telephone_number": "917-449-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGIEBOR",
"first_name": "FRANK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-02",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NJ",
"license": "I30872670007692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.