Individual provider Active NPI

Nneka Emekekwue

  • Dentist
  • Plainfield, NJ
National Provider Identifier
1104938687
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102174400 Issued in NJ
Practice address
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone
(908) 753-6401
Fax
(908) 753-6401
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102174400 NJ Primary

Addresses

Primary practice location

1700 Myrtle Ave
Plainfield, NJ 07063-1000

Mailing address

1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone (908) 753-6401

Other identifiers 1

IdentifierTypeStateIssuer
D08153500OtherNJCDS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000472 NJ Practitioner - Oral Surgery 2860634227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102174400NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation Dentist CurrentSince Jun 28, 2013 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Jun 28, 2013 Accepting new patients

Locations

1700 Myrtle Ave
Plainfield, NJ 07063
Phone (908) 753-6401

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nneka.emekekwue.p1@direct.nhscnj.nextgenshare.com

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104938687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401",
            "fax_number": "908-753-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401",
            "fax_number": "908-753-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEKEKWUE",
        "first_name": "NNEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102174400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D08153500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.