Active NPI
Ifeatu Somtochukwu Egwuatu, MD
- Student in an Organized Health Care Education/Training Program
- Morristown, NJ
National Provider Identifier
1487439691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5000
- NPI assigned
- Aug 28, 2023
- Last updated
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | 79054 | AZ |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 336-2000
Other practice location 1
2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-3213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1487439691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-336-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-971-5000"
}
],
"practiceLocations": [
{
"address_1": "2400 S Avenue A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647127",
"country_code": "US",
"telephone_number": "928-336-3213",
"fax_number": "928-336-3215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGWUATU",
"first_name": "IFEATU",
"middle_name": "SOMTOCHUKWU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "79054",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.