Joseph a. Nkwanyuo, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0030309 Issued in MD

Legal business name

JOSEPH A. NKWANYUO, M.D., P.C.

Practice address

8930 Liberty Rd
Randallstown, MD 21133-4234

Phone

(410) 265-7742

Fax

(410) 298-3964

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Nkwanyuo, M.D.NPI 1194805036

Title

P.C.

Phone

(410) 265-7742

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph A Nkwanyuo, M.D.

  • Internal Medicine Physician
  • Randallstown, MD
  • NPI 1194805036
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1114234267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331316",
            "telephone_number": "410-265-7742",
            "fax_number": "410-298-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334234",
            "telephone_number": "410-265-7742",
            "fax_number": "410-298-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. NKWANYUO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "NKWANYUO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "P.C.",
        "authorized_official_telephone_number": "410-265-7742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0030309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351941400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Faye Jones, LGSW
• Kimberly Monique Jones, LCPC
• Lynn Marie Jones, RN
• Jong-Bum Seo and Yvonne Lee, D.M.D., P.a.
• Rabiyah Jordan
• Erica Tobin Joseph, M.D.
• Jeswin Joy
• K & J Enterprise (K & J Medical supplier)
• K S Rao MD PA
• Nduka Kaliku, NP

• Internal Medicine Physician in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.