Active NPI
Makuochukwu Maryann Ozoude, M.D.
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
National Provider Identifier
1548057508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 201 Lyons Avenue, Newark, NJ. Newark Beth Israel Medica
Newark, NJ 07112 - Phone
- (973) 926-7471
- NPI assigned
- Apr 23, 2025
- Reactivated
- Feb 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
201 Lyons Avenue, Newark, NJ. Newark Beth Israel Medica
Newark, NJ 07112
Mailing address
201 Lyons Avenue, Newark, NJ. Newark Beth Israel Medica
Newark, NJ 07112
Phone (973) 926-7471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1548057508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVENUE, NEWARK, NJ. NEWARK BETH ISRAEL MEDICA",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "973-926-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVENUE, NEWARK, NJ. NEWARK BETH ISRAEL MEDICA",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "973-926-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZOUDE",
"first_name": "MAKUOCHUKWU",
"middle_name": "MARYANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"deactivation_date": "2026-02-02",
"reactivation_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.