Active NPI
Chukwuemeka S Nwigwe, PT, DPT, OCS,FAAOMPT
- Orthopedic Physical Therapist
- South Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01464700
- Practice address
- 349 Valley St
South Orange, NJ 07079-2857 - Phone
- (973) 327-7868
- NPI assigned
- Sep 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41520 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 40QA01464700 | NJ | Primary |
Addresses
Primary practice location
349 Valley St
South Orange, NJ 07079-2857
Mailing address
349 Valley St
South Orange, NJ 07079-2857
Phone (973) 327-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202002379 | CA | Practitioner - Physical Therapist in Private Practice | 1456505551 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18336 Soledad Canyon Rd
Suite 1014
Canyon Country, CA 91387-9998
21781 Ventura Blvd
Suite 438
Woodland Hills, CA 91364-1835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holsman Physical and Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565
1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566
Organizations & group practices 1
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.
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1538418397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 VALLEY ST",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792857",
"telephone_number": "973-327-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 VALLEY ST",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792857",
"telephone_number": "973-327-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWIGWE",
"first_name": "CHUKWUEMEKA",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PT, DPT, OCS,FAAOMPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-07",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41520",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01464700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.