Individual provider Active NPI

Daniel A Unachukwu, APN

  • Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1326336116
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00343300 Issued in NJ
Practice address
1 Waterworks Rd
Freehold, NJ 07728-4231
Phone
(732) 866-3665
Fax
(732) 866-3669
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR11864400 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00343300 NJ
Nurse Practitioner 363L00000X 26NJ00343300 NJ Primary

Addresses

Primary practice location

1 Waterworks Rd
Freehold, NJ 07728-4231

Mailing address

49 Ruby Dr
Morganville, NJ 07751-1054
Phone (201) 757-5585

Other practice location 1

49 Ruby Dr
Morganville, NJ 07751-1054
Phone (201) 757-5585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR11864400NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1326336116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 RUBY DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511054",
            "telephone_number": "201-757-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATERWORKS RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284231",
            "telephone_number": "732-866-3665",
            "fax_number": "732-866-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077511054",
            "country_code": "US",
            "telephone_number": "201-757-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNACHUKWU",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11864400",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00343300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00343300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.