Active NPI
Chukwueke Lekwauwa
- Psychiatric/Mental Health Nurse Practitioner
- Rahway, NJ
National Provider Identifier
1205468873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01017300
- Practice address
- 1643 Park St
Rahway, NJ 07065-5207 - Phone
- (973) 868-1052
- NPI assigned
- Feb 11, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01017300 | NJ | Primary |
Addresses
Primary practice location
1643 Park St
Rahway, NJ 07065-5207
Mailing address
1643 Park St
Rahway, NJ 07065-5207
Phone (973) 868-1052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325002133 | NY | Practitioner - Nurse Practitioner | 1557786837 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1205468873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 PARK ST",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070655207",
"telephone_number": "973-868-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 PARK ST",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070655207",
"telephone_number": "973-868-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEKWAUWA",
"first_name": "CHUKWUEKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01017300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.