Individual provider Active NPI

Nnenna Kalu Uguru, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1376056820
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059514 Issued in PA
Practice address
3400 Spruce Street
3 Silverstein BLDG
Philadelphia, PA 19104-4206
Phone
(215) 662-3487
Fax
(215) 349-5534
NPI assigned
Nov 7, 2017
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00459500 NJ
Physician Assistant 363A00000X MA059514 PA Primary

Addresses

Primary practice location

3400 Spruce Street
3 Silverstein BLDG
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce Street
3 Silverstein BLDG
Philadelphia, PA 19104-4206
Phone (215) 662-3487

Other practice location 1

1203 Langhorne Newtown Rd Ste 138
Langhorne, PA 19047-1212
Phone (215) 741-3141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address n.uguru@pbs.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180110000011 PA Practitioner - Physician Assistant 8820357296 Reassigns benefits to 2 organizations
I20180118000094 NJ Practitioner - Physician Assistant 8820357296 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Delaware Valley Brain and Spine Care,LLCGroup PAC ID 6608042262, 13 clinicians

Practice addresses (Care Compare)

3400 Spruce St
Philadelphia, PA 19104-4206

3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079

731 Alexander Rd
Suite 200
Princeton, NJ 08540-6345
Phone (609) 921-9001

901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (609) 921-9001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
83.6
Promoting interoperability
99
Improvement activities
40
Cost
72.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059514PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 8, 2022 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Dec 1, 2017 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Nov 3, 2024 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Dec 1, 2017 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Nov 3, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 8, 2022 Accepting new patients
Reliance Home Care Agency Inc Past Accepting new patients

Locations

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

731 Alexander Rd
Ste 200
Princeton, NJ 08540
Phone (609) 655-3800

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

81 Veronica Ave
Ste 203
Somerset, NJ 08873
Phone (732) 545-3080

1203 Langhorne Newtown Rd
Ste 138
Langhorne, PA 19047
Phone (215) 710-8644

104 Pheasant Run
Ste 105
Newtown, PA 18940
Phone (215) 968-6844

3400 Spruce St
Fl 3
Philadelphia, PA 19104

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1376056820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "3 SILVERSTEIN BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3487",
            "fax_number": "215-349-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "3 SILVERSTEIN BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3487",
            "fax_number": "215-349-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471212",
            "country_code": "US",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGURU",
        "first_name": "NNENNA",
        "middle_name": "KALU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00459500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "n.uguru@pbs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1203 Langhorne Newtown Rd Ste 138",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.