Ogechi Enwereji, FNP

Key facts

NPI

1114616059

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

26NJ01482800 (NJ)

Practice address

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone

(908) 522-2000

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Gold Standard Medical Group PC Internal Medicine Physician · Clifton, NJ · NPI 1043722853
  Medicare reassignment Care Compare group NPD NJ
• Emergency Physician Associates of North Jersey P C Emergency Medicine Physician · Summit, NJ · NPI 1497783419
  Medicare reassignment NPD NJ
• Sureguard LLC Clinic/Center · North Caldwell, NJ · NPI 1750152351
  NPD
• Sureguard LLC Internal Medicine Physician · Saint Louis, MO · NPI 1538917026
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gold Standard Medical Group PC (32 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oenwerejiklein508199@direct.ahsys.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 22, 2023.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1114616059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 STONETOWN RD",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWEREJI",
        "first_name": "OGECHI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01482800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01482800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

• Emergency Physician Associates of North Jersey P C
• Emil G. Cappetta DMD PA
• Emily Feldman OT LLC
• Joana S Emmolo, MD
• Michael Enwere
• Jennifer Epperlein, DO
• Rosemary J Erickson, MSW, LCSW
• Azadeh Esmaeili, MD
• Jarlene Estopia, MS, APRN, A-GNP-C
• Debbie Lynn Evans, LCSW

All providers in Summit, NJ · Nurse Practitioner in New Jersey