Chykodili Jonnwakalo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

445 Marshall St
Phillipsburg, NJ 08865-2695

Phone

(609) 582-0899

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Amazing Grace Medical Center LLC

  • Family Medicine Physician
  • Phillipsburg, NJ
  • NPI 1801420948
  NPD
• NJ South Coast Medical Center Corp

  • Family Medicine Physician
  • Clinton, NJ
  • NPI 1952739690
  NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1194307074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 DERBY LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209418",
            "telephone_number": "973-704-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "609-582-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONNWAKALO",
        "first_name": "CHYKODILI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drezeanya@amazinggracemedical.com",
            "affiliation": "N",
            "endpointDescription": "drezeanya@amazinggracemedical.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "drezeanya@amazinggracemedical.com",
            "address_1": "445 Marshall St",
            "city": "Phillipsburg",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088652695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce John Jiorle, DMD
• Diana Jiorle
• Marita Ann John
• Savion D'Vontai Johnson, MD
• Thomas Johnson
• Therese Marie Jordan, DPT
• Andy Roger Joseph, PHARMD
• Herlide Joseph, LAC
• Joshua Pollack MD PC
• Dana M Kabisch, LPC

• Case Manager/Care Coordinator in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.