Kingsley Chukwueke

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26NR11139200 Issued in NJ

Practice address

65 Jimmie Leeds Road
Pomona, NJ 08240

Phone

(609) 748-7088

NPI assigned

Jun 26, 2006

Last updated

Mar 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverdale Anesthesia Services LLCGroup PAC ID 2163952284, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Riverdale Anesthesia Services LLC

  • Anesthesiology Physician
  • Riverdale, GA
  • NPI 1831910512

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Dpi of Georgia, LLC

  • Anesthesiology Physician
  • Roswell, GA
  • NPI 1407323199

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069
  Medicare reassignment NPD
• Radius Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1861996225
  Medicare reassignment NPD
• Interventional Spine and Pain Management Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Conyers, GA
  • NPI 1750420147
  NPD
• Atlanticare Regional Medical Center

  dba ARMC Anesthesiologists

  • Anesthesiology Physician
  • Pomona, NJ
  • NPI 1710930102
  NPD (past)
• Advanced Anesthesia Associates, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1649260738

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Central Georgia, PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1972638047

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ahp of Georgia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467400481

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Eclipse Anesthesia LLC

  dba AHP of Macon LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1811174964

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Midstate Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1871861823

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Foundation - Southern Regional, LLC

  dba Southern Regional Medical Center

  • General Acute Care Hospital
  • Riverdale, GA
  • NPI 1154795581
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1265469498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "PO BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-748-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUEKE",
        "first_name": "KINGSLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR11139200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Calime, RN, BSN, CRNFA
• Phillip Campanella
• Matthew Campbell, PHARM.D.
• Rommel M. Celestial, MD
• Chun W Choi, M.D.
• Coastal Obstetrics & Gynecology Associates PA
• Mary Jo Cogan, O.T.R.
• Megan Jessica Cohl, CNM
• Jessica T Costabile, D.O.
• Cyber Radiation Oncology SRS LLC

• Certified Registered Nurse Anesthetist in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.