Individual provider Active NPI

Lucy Ogechi Efobi, DNP

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1215578091
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00968300 Issued in NJ
Practice address
194 Clinton Ave Lowr Level
Newark, NJ 07108-2809
Phone
(862) 240-1461
Fax
(862) 240-1465
NPI assigned
Oct 3, 2019
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00968300 NJ Primary

Addresses

Primary practice location

194 Clinton Ave Lowr Level
Newark, NJ 07108-2809

Mailing address

194 Clinton Ave Lowr Level
Newark, NJ 07108-2809
Phone (862) 240-1461

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
I20260421000065 NJ Practitioner - Nurse Practitioner 8527485838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1505 Essex Ave
Linden, NJ 07036-1921

8201 Corporate Dr
Suite 630
Hyattsville, MD 20785-2258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00968300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fragile Heart Health Consulting Services LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1215578091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CLINTON AVE LOWR LEVEL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082809",
            "telephone_number": "862-240-1461",
            "fax_number": "862-240-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLINTON AVE LOWR LEVEL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082809",
            "telephone_number": "862-240-1461",
            "fax_number": "862-240-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFOBI",
        "first_name": "LUCY",
        "middle_name": "OGECHI",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00968300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.