Individual provider Active NPI

Joyce Nkwonta, MD

  • Internal Medicine Physician
  • Plainfield, NJ
National Provider Identifier
1467408047
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07088700 Issued in NJ
Practice address
1314 Park Ave
Ste 1
Plainfield, NJ 07060-3253
Phone
(908) 561-9733
Fax
(908) 561-8944
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA07088700 NJ Primary

Addresses

Primary practice location

1314 Park Ave
Ste 1
Plainfield, NJ 07060-3253

Mailing address

1314 Park Ave
Ste 1
Plainfield, NJ 07060-3253
Phone (908) 561-9733

Other identifiers 1

IdentifierTypeStateIssuer
8499101MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000423 NJ Practitioner - Internal Medicine 7810912185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

475 S St
Morristown, NJ 07960-6459
Phone (973) 971-5000

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07088700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Internal Medicine CurrentSince Feb 7, 2023 Accepting new patients
Primary Care Partners, LLC Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

1314 Park Ave
Ste 1
Plainfield, NJ 07060
Phone (908) 561-9733

328A Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBBAA/Endpoint/IHBBAA

Organizations & group practices 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1467408047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE",
            "address_2": "STE 1",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603253",
            "telephone_number": "908-561-9733",
            "fax_number": "908-561-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE",
            "address_2": "STE 1",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603253",
            "telephone_number": "908-561-9733",
            "fax_number": "908-561-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWONTA",
        "first_name": "JOYCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07088700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8499101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.