Individual provider Active NPI

Ifeoma Iwelumo, MD

  • Specialist
  • Clifton, NJ
National Provider Identifier
1205897865
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA051800 Issued in NJ
Practice address
266 Lakeview Ave
Clifton, NJ 07011-4026
Phone
(973) 340-1222
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA051800 NJ Primary

Addresses

Primary practice location

266 Lakeview Ave
Clifton, NJ 07011-4026

Mailing address

266 Lakeview Ave
Clifton, NJ 07011-4026
Phone (973) 340-1222

Other identifiers 1

IdentifierTypeStateIssuer
6090303MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002186 NJ Practitioner - Pediatric Medicine 1052723434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA051800NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center, PC CurrentSince Aug 27, 2020 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

266 Lakeview Ave
#1
Clifton, NJ 07011

266 Lakeview Ave
Clifton, NJ 07011
Phone (973) 340-1222

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1205897865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114026",
            "telephone_number": "973-340-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114026",
            "telephone_number": "973-340-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWELUMO",
        "first_name": "IFEOMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA051800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6090303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.