Active NPI
Maurice Chukwudi Ejere
- Case Management Registered Nurse
- Raleigh, NC
National Provider Identifier
1205334752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 184968
- Practice address
- 2700 Nagami CT
Raleigh, NC 27610-5889 - Phone
- (919) 601-7672
- NPI assigned
- Jan 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 184968 | NC | Primary |
Addresses
Primary practice location
2700 Nagami CT
Raleigh, NC 27610-5889
Mailing address
395 Virginia Water Dr
Rolesville, NC 27571-9215
Phone (919) 601-7672
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
| License | State | Type | Specialty |
|---|---|---|---|
| 184968 | NC | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1205334752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 VIRGINIA WATER DR",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719215",
"telephone_number": "919-601-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NAGAMI CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105889",
"telephone_number": "919-601-7672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJERE",
"first_name": "MAURICE",
"middle_name": "CHUKWUDI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NC",
"license": "184968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.