Chinweike Izeogu, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08075700 Issued in NJ

Practice address

290 S Livingston Ave Ste 1
Livingston, NJ 07039-3986

Phone

(973) 533-0954

Fax

(973) 533-0958

NPI assigned

Jul 27, 2006

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Vein & Wellness LLC

  • Vascular & Interventional Radiology Physician
  • Oradell, NJ
  • NPI 1336976786

  Pain Medicine

  NPD Authorized official
• Advanced Spine Pain Therapy, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Livingston, NJ
  • NPI 1538671268
  Authorized official Same address or phone
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  NPD (past)
• Hackettstown Anesthesia Associates

  • Anesthesiology Physician
  • Denville, NJ
  • NPI 1053396580
  NPD (past)
• Montclair Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Montclair, NJ
  • NPI 1841245628
  NPD (past)
• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1598789141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE STE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393986",
            "telephone_number": "973-533-0954",
            "fax_number": "973-533-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE STE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393986",
            "telephone_number": "973-533-0954",
            "fax_number": "973-533-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 NEW YORK 211",
            "address_2": "Suite 12",
            "address_purpose": "LOCATION",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "country_code": "US",
            "telephone_number": "845-381-1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZEOGU",
        "first_name": "CHINWEIKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08075700",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "235169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE  OFFICE OF THE PROFESSIONS",
            "identifier": "235169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ise Inc (Test Rite)
• Miranda William Iskander, PA-C
• Saira W Islam
• Rekha D. Iyengar, M.D.
• Sekhar Gopalan Iyer, MD, DO
• J & a Pharmacy Services LLC (Medicine Shoppe)
• Jackson Eye Care LLC
• Alexis Sara Jackson, AGACNP-BC
• Ebony Jackson
• Kurt T Jackson, M.D.

• Anesthesiology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.