Active NPI
Ifeyinwa Norbert, MD
- Internal Medicine Physician
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- V5806
- Practice address
- 750 Brunswick Ave
Trenton, NJ 08638-4143 - Phone
- (609) 394-6031
- NPI assigned
- Mar 22, 2019
- Last updated
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | V5806 | TX | Primary |
Addresses
Primary practice location
750 Brunswick Ave
Trenton, NJ 08638-4143
Mailing address
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6031
Other practice location 1
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 296-3963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2727 Bolton Boone Dr
Suite 101
Desoto, TX 75115-2019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V5806 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ibidunni O Ukegbu PA | Internal Medicine | Current | Accepting new patients |
Locations
8067 W Virginia Dr
#101
Dallas, TX 75237
Phone (469) 453-2008
2727 Bolton Boone Dr
Ste 103
Desoto, TX 75115
Phone (972) 296-7200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1356801583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086384143",
"telephone_number": "609-394-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086384143",
"telephone_number": "609-394-6031"
}
],
"practiceLocations": [
{
"address_1": "5001 Hardy St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394021308",
"country_code": "US",
"telephone_number": "601-296-3963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORBERT",
"first_name": "IFEYINWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V5806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.