Individual provider Active NPI

Amesika N Nyaku, M.D., M.S.

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1134440647
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09952700 Issued in NJ
Practice address
150 Bergen St
D Level
Newark, NJ 07103-2496
Phone
(973) 972-5111
Fax
(973) 972-3102
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA09952700 NJ
Internal Medicine Physician 207R00000X 25MA09952700 NJ Primary

Addresses

Primary practice location

150 Bergen St
D Level
Newark, NJ 07103-2496

Mailing address

150 Bergen St
D Level
Newark, NJ 07103-2496
Phone (973) 972-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anyaku66310@direct-uhnj.org Direct University Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141018000150 IL Practitioner - Internal Medicine 6002037942 Reassigns benefits to 2 organizations
I20161119000305 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 6002037942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tpa Network IncorporatedGroup PAC ID 9133565997, 10 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

5537 N Broadway St
Chicago, IL 60640-1405
Phone (773) 989-9400

676 N Saint Clair St
Suite 940
Chicago, IL 60611-2945
Phone (312) 926-8358

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09952700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tpa Network Incorporated Current Accepting new patients
Tpa Network Incorporated CurrentSince Oct 1, 2024 Accepting new patients
University Physician Associates of New Jersey Inc Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients

Locations

5537 N Broadway St
Chicago, IL 60640
Phone (773) 271-1439

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

150 Bergen St
#D
Newark, NJ 07103
Phone (973) 972-5111

140 Bergen St
#D
Newark, NJ 07103
Phone (973) 972-4071

Interoperability endpoints

  • Direct secure messaging: amesika.nyaku.1@20978.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 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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1134440647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "D LEVEL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-5111",
            "fax_number": "973-972-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "D LEVEL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-5111",
            "fax_number": "973-972-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAKU",
        "first_name": "AMESIKA",
        "middle_name": "N",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA09952700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09952700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anyaku66310@direct-uhnj.org",
            "affiliation": "Y",
            "endpointDescription": "Epic",
            "affiliationName": "University Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Bergen St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.