Individual provider Active NPI

Beatrice Onyeador, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1114969870
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA073452 Issued in NJ
Practice address
304 Lakeview Ave
Clifton, NJ 07011-4069
Phone
(973) 478-8600
Fax
(973) 478-8601
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA073452 NJ Primary

Addresses

Primary practice location

304 Lakeview Ave
Clifton, NJ 07011-4069

Mailing address

304 Lakeview Ave
Clifton, NJ 07011-4069
Phone (973) 340-1222

Other identifiers 1

IdentifierTypeStateIssuer
8897808MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000365 NJ Practitioner - Internal Medicine 1254227473 Reassigns benefits to 1 organization
Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

304 Lakeview Ave
Suite a
Clifton, NJ 07011-4069
Phone (973) 478-8600

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA073452NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Medical Clinics Internal Medicine CurrentSince Feb 2, 2019 Accepting new patients
Good News Care Transport LLC Current Accepting new patients
Beatrice Onyeader Freedom Medical Clinic PastSince Jan 1, 1990 Accepting new patients

Locations

304 Lakeview Ave
Ste A
Clifton, NJ 07011
Phone (973) 478-8600

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Interoperability endpoints

  • Direct secure messaging: beatrice.onyeador@ehi.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1114969870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114069",
            "telephone_number": "973-340-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114069",
            "telephone_number": "973-478-8600",
            "fax_number": "973-478-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEADOR",
        "first_name": "BEATRICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA073452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8897808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.