Individual provider Active NPI

Gloria Chinenye Azubuike, NP

  • Nurse Practitioner
  • Basking Ridge, NJ
National Provider Identifier
1114425212
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00782400 Issued in NJ
Practice address
131 Morristown Rd
Basking Ridge, NJ 07920-1654
Phone
(908) 630-9305
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 26NJ00782400 NJ Primary

Addresses

Primary practice location

131 Morristown Rd
Basking Ridge, NJ 07920-1654

Mailing address

113 Borinsky LN
Union, NJ 07083-6107
Phone (973) 879-3466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glike Services CurrentSince Jan 8, 2025 Accepting new patients

Locations

120 Millburn Ave
Ste G4
Millburn, NJ 07041
Phone (908) 398-5011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1114425212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BORINSKY LN",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836107",
            "telephone_number": "973-879-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MORRISTOWN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201654",
            "telephone_number": "908-630-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBUIKE",
        "first_name": "GLORIA",
        "middle_name": "CHINENYE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00782400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.