Individual provider Active NPI

Ijeoma Jennifer Hassan, M.D.

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1306104518
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10454300 Issued in NJ
Practice address
619 19TH St S
Birmingham, AL 35249-4400
Phone
(205) 934-4011
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.50630 AL
Psychiatry Physician 2084P0800X 272863 NY
Psychiatry Physician 2084P0800X 25MA10454300 NJ Primary
Psychiatry Physician 2084P0800X MD458494 PA

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-4400

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice location 1

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (201) 754-8213

Other identifiers 1

IdentifierTypeStateIssuer
03868531MedicaidNY

Other names 1

  • Dr. Ijeoma Jennifer Njoku Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, WV, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170329000631 PA Practitioner - Psychiatry 8527365741 Reassigns benefits to 3 organizations
I20190606002349 NJ Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Other (Physician) 8527365741 Reassigns benefits to 3 organizations
I20230817001239 WV Practitioner - Psychiatry 8527365741 Reassigns benefits to 2 organizations
I20250211001809 AL Practitioner - Psychiatry 8527365741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

254 Easton Ave
New Brunswick, NJ 08903-0591
Phone (732) 745-8600

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10454300NJMDPsychiatry Physician
MD458494PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Nov 5, 2021 Accepting new patients
West Virginia University Medical Corporation Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Center for Family Guidance, PC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
United Hospital Center, Inc. CurrentSince Mar 23, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 25, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 1, 2025 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Aug 7, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
St. Luke'S Physician Group, Inc. Psychiatry CurrentSince Nov 5, 2021 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Apr 13, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 1, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 25, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 7, 2020 Accepting new patients
Prime Healthcare Services - St Michaels LLC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

320 Main St
Fl 2
Johnstown, PA 15901
Phone (814) 534-1095

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ijeoma.hassanmd.p1@direct.cfg.nextgenshare.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1306104518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352494400",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Koch Ave",
            "address_purpose": "LOCATION",
            "city": "Morris Plains",
            "state": "NJ",
            "postal_code": "079504400",
            "country_code": "US",
            "telephone_number": "201-754-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "IJEOMA",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.50630",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "272863",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10454300",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD458494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03868531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "NJOKU",
            "middle_name": "JENNIFER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.