Individual provider Active NPI

Maduka Nnadozie

  • Family Medicine Physician
  • Atlantic City, NJ
National Provider Identifier
1356911945
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101287238 Issued in VA
Practice address
2015 Pacific Ave
Atlantic City, NJ 08401-6726
Phone
(609) 441-8194
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1356911945 NJ
Family Medicine Physician 207Q00000X 0101287238 VA Primary

Addresses

Primary practice location

2015 Pacific Ave
Atlantic City, NJ 08401-6726

Mailing address

2015 Pacific Ave
Atlantic City, NJ 08401-6726
Phone (609) 441-8194

Other practice location 1

4548 Empire Ct
Fredericksburg, VA 22408-1939
Phone (540) 374-3150

Other practice location 2

4900 Plank Rd
Fredericksburg, VA 22407-6626
Phone (540) 373-4602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240613001333 NJ Practitioner - General Practice 8527501915 Reassigns benefits to 1 organization
I20251015002877 VA Practitioner - Infectious Disease 8527501915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4548 Empire CT
Fredericksburg, VA 22408-1939
Phone (540) 374-3150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101287238VAMDFamily Medicine Physician
1356911945NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians General Practice CurrentSince Oct 6, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC General Practice CurrentSince May 5, 2024 Accepting new patients
Mary Washington Healthcare Physicians Family Medicine CurrentSince Oct 6, 2025 Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4548 Empire Ct
Fredericksburg, VA 22408
Phone (540) 373-2244

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: mnnadozie143169@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1356911945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 PACIFIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016726",
            "telephone_number": "609-441-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 PACIFIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016726",
            "telephone_number": "609-441-8194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4548 Empire Ct",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224081939",
            "country_code": "US",
            "telephone_number": "540-374-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224076626",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NNADOZIE",
        "first_name": "MADUKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "1356911945",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101287238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.