Individual provider Active NPI

Uchenna J Akosa, DDS

  • Dentist
  • New Brunswick, NJ
National Provider Identifier
1386625127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102260600 Issued in NJ
Practice address
277 George
St Umdnj Rmjms Eric B Chandler Health Center
New Brunswick, NJ 08901
Phone
(732) 235-6738
Fax
(732) 235-8116
NPI assigned
Nov 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102260600 NJ Primary

Addresses

Primary practice location

277 George
St Umdnj Rmjms Eric B Chandler Health Center
New Brunswick, NJ 08901

Mailing address

10 Plum Tree Lane
Somerset, NJ 08873
Phone (732) 227-0137

Other identifiers 1

IdentifierTypeStateIssuer
0054682MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310001830 NJ Order and Referring Only - DentistPractitioner - Dentist 2769788157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102260600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - RSDM Dental Associates - New Brunswick Os - NB Current Accepting new patients
Rutgers University Dental Associates-New Brunswick Dentist Current Accepting new patients
Rutgers School of Dental Medicine Current Accepting new patients

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, 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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386625127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLUM TREE LANE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-227-0137",
            "fax_number": "732-235-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GEORGE",
            "address_2": "ST UMDNJ RMJMS ERIC B CHANDLER HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-235-6738",
            "fax_number": "732-235-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOSA",
        "first_name": "UCHENNA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102260600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054682",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.