Individual provider Active NPI

Uchenna Pamela Ndukwe Nwosu, DMD

  • Pediatric Dentistry
  • Avon by the Sea, NJ
National Provider Identifier
1144970286
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02912100 Issued in NJ
Practice address
514 Garfield Ave
Avon by the Sea, NJ 07717-1157
Phone
(732) 775-1492
NPI assigned
Mar 23, 2022
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DI02912100 NJ Primary

Addresses

Primary practice location

514 Garfield Ave
Avon by the Sea, NJ 07717-1157

Mailing address

1625 Jacks Way
Toms River, NJ 08755-2223
Phone (732) 604-5219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02912100NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Refined Dental PC Pediatric Dentistry CurrentSince Jun 23, 2025 Accepting new patients

Locations

514 Garfield Ave
Avon by the Sea, NJ 07717
Phone (732) 775-1492

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1144970286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 JACKS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552223",
            "telephone_number": "732-604-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 GARFIELD AVE",
            "city": "AVON BY THE SEA",
            "state": "NJ",
            "postal_code": "077171157",
            "telephone_number": "732-775-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKWE NWOSU",
        "first_name": "UCHENNA",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02912100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon by the Sea, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.