Benjamin Nwanonenyi

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

0450162902 Issued in NJ

Practice address

2 Fraser Rd
Blackwood, NJ 08012-4528

Phone

(215) 561-4673

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Divine Providence Healthcare, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1083478325
  NPD Authorized official
• Divine Providence Healthcare, LLC

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1588428528
  NPD Authorized official

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1275068207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRASER RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124528",
            "telephone_number": "215-561-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRASER RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124528",
            "telephone_number": "215-561-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANONENYI",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "0450162902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naspac1 LLC
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 02196)
• Sean Lean Ngo, RPH
• Nurse Practitioner Professional Resources
• Kathleen Ann O'Shea, APN
• Ocean Winds Counseling Service, LLC
• Mojisola Odunuga, FNP-BC
• Nicole Teresa Ogletree
• William Michael Ogletree, CNIM

• In Home Supportive Care Agency in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.