Chidiebere Ephraim Azubuike

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

900 Easton Avenue
Ste 26
Somerset, NJ 08873

Phone

(732) 343-5374

Fax

(732) 960-1956

NPI assigned

May 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Surebridge Community Supports

  • Community/Behavioral Health Agency
  • Franklin Park, NJ
  • NPI 1407736499
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1508557729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 HOUSELL CT",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088232615",
            "telephone_number": "732-343-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EASTON AVENUE",
            "address_2": "STE 26",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-343-5374",
            "fax_number": "732-960-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBUIKE",
        "first_name": "CHIDIEBERE",
        "middle_name": "EPHRAIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prajakta V Avhad, M.D.
• Aviator Health Services New Jersey, P.C.
• Asher Awan
• Girija Somayajula Ayyala, RD
• Nebulon Azu
• Eliseo Babia
• Back in Motion Physical Therapy, PC.
• Heidy Bacolot-Bocalan, PT
• Gabriella Soto Badillo, RBT
• Lanre Bagudu, CHHA

• All providers in Somerset, NJ
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.