NPIMap

Organization Active NPI

Anukwuem Enterprises, Inc

Doing business as LCT Medical

  • Primary Care Clinic/Center
  • Irvington, NJ
National Provider Identifier
1326289984
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MA058920 Issued in NJ
Legal business name
ANUKWUEM ENTERPRISES, INC
Doing business as
LCT Medical
Practice address
1182 Stuyvesant Ave
FL. 1
Irvington, NJ 07111-1057
Phone
(973) 399-2600
Fax
(973) 399-5252
NPI assigned
Mar 11, 2009
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Chidi I. Anukwuem, M.D.NPI 1487719753
Title
Medical Director
Phone
(973) 399-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MA058920 NJ Primary

Addresses

Primary practice location

1182 Stuyvesant Ave
FL. 1
Irvington, NJ 07111-1057

Mailing address

1182 Stuyvesant Ave
FL. 1
Irvington, NJ 07111-1057
Phone (973) 399-2600

Other identifiers 1

IdentifierTypeStateIssuer
6135102MedicaidNJ

Other names 1

  • LCT Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1182 Stuyvesant Ave
#1
Irvington, NJ 07111
Phone (973) 399-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1326289984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 STUYVESANT AVE",
            "address_2": "FL. 1",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111057",
            "telephone_number": "973-399-2600",
            "fax_number": "973-399-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 STUYVESANT AVE",
            "address_2": "FL. 1",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111057",
            "telephone_number": "973-399-2600",
            "fax_number": "973-399-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUKWUEM ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "ANUKWUEM",
        "authorized_official_first_name": "CHIDI",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-399-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA058920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6135102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCT Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.