Individual provider Active NPI

Chioma Ugo-Ogbuewu, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1194470351
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01260300 Issued in NJ
Practice address
415 Sicklerville Rd Unit 81
Sicklerville, NJ 08081-8003
Phone
(732) 359-4895
Fax
(732) 561-1354
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01260300 NJ Primary

Addresses

Primary practice location

415 Sicklerville Rd Unit 81
Sicklerville, NJ 08081-8003

Mailing address

415 Sicklerville Rd Unit 81
Sicklerville, NJ 08081-8003

Other practice location 1

981 US Highway 22
Bridgewater, NJ 08807-2946
Phone (908) 526-8370

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726003118 NJ Practitioner - Nurse Practitioner 9830635796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1194470351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SICKLERVILLE RD UNIT 81",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080818003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SICKLERVILLE RD UNIT 81",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080818003",
            "telephone_number": "732-359-4895",
            "fax_number": "732-561-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 US Highway 22",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072946",
            "country_code": "US",
            "telephone_number": "908-526-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGO-OGBUEWU",
        "first_name": "CHIOMA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01260300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.