NPIMap

Individual provider Active NPI

Augustine Chukwujekwu Okpala, M.D

  • Internal Medicine Physician
  • Newton, NJ
National Provider Identifier
1124085766
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08035200 Issued in NJ
Practice address
175 High St
Newton Memorial Hospital
Newton, NJ 07860-1004
Phone
(973) 579-8321
NPI assigned
Apr 27, 2006
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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 25MA08035200 NJ Primary

Addresses

Primary practice location

175 High St
Newton Memorial Hospital
Newton, NJ 07860-1004

Mailing address

175 High St
Newton, NJ 07860-1004
Phone (973) 579-8321

Other identifiers 2

IdentifierTypeStateIssuer
P00808383OtherNJRR MEDICARE
0105821MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000048 NJ Practitioner - Internal Medicine 0941213466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Medical Clinic LLCGroup PAC ID 8224324843, 2 clinicians

Practice addresses (Care Compare)

433 Sand Shore Rd
Hackettstown, NJ 07840-5504
Phone (862) 254-2299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
51.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08035200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Northwest New Jersey Medical-Surgical Alliance P C Past Accepting new patients
University Hospital Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Castelli Inpatient Services Internal Medicine Past Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aokpala260104@epicdirect.rwjbh.org
  • Direct secure messaging: augustine.okpala.2@14300.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1124085766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601004",
            "telephone_number": "973-579-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HIGH ST",
            "address_2": "NEWTON MEMORIAL HOSPITAL",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601004",
            "telephone_number": "973-579-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALA",
        "first_name": "AUGUSTINE",
        "middle_name": "CHUKWUJEKWU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08035200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00808383",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105821",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.