Lawrence O. Egbuchulam, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

46686 Issued in NJ

Legal business name

LAWRENCE O. EGBUCHULAM, M.D., P.C.

Practice address

84 Sanford St
East Orange, NJ 07018-1927

Phone

(973) 674-6318

Fax

(973) 674-8953

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Lawrence Egbuchulam, M.D.

Title

Director

Phone

(973) 674-6318

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1386895423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181927",
            "telephone_number": "973-674-6318",
            "fax_number": "973-674-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181927",
            "telephone_number": "973-674-6318",
            "fax_number": "973-674-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE O. EGBUCHULAM, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "EGBUCHULAM",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-674-6318",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2496500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barikisu Langyin
• Ashraf Latif, PHARMACIST
• Maryam Latif
• Chenelle Tavia Lauture, LCSW
• Qiana Laviena
• Jamil Okezie Lawrence, LCSW
• Tamica Lawson, FNP
• Takiyah Le Maitre
• Jenisel Ledesma
• Esther Lee, OD

• Specialist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.