Individual provider Active NPI

Pius Chikezie, M.D.

  • Internal Medicine Physician
  • Millstone Township, NJ
National Provider Identifier
1609807379
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA62398 Issued in NJ
Practice address
6 Lahaway Creek CT
Millstone Township, NJ 08510
Phone
(908) 770-8025
Fax
(732) 321-1150
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA62398 NJ Primary

Addresses

Primary practice location

6 Lahaway Creek CT
Millstone Township, NJ 08510

Mailing address

PO Box 356
Perrineville, NJ 08535-0356
Phone (732) 321-1100

Other identifiers 2

IdentifierTypeStateIssuer
6919308MedicaidNJ
MA62398OtherNJLICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050622000292 NJ Practitioner - Internal Medicine 8325031321 Reassigns benefits to 2 organizations
Practice locations: Millstone Township, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Botox and Family Associates LLCGroup PAC ID 0840535993, 5 clinicians
Ocean Family and Geriatric Associates LLCGroup PAC ID 2567729171, 10 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 341-9900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA62398NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Botox and Family Associates LLC CurrentSince Jul 11, 2024 Accepting new patients
Ocean Family & Geriatric Associates LLC Internal Medicine CurrentSince Jul 11, 2024 Accepting new patients
City Urgent Care, P.C. Internal Medicine PastSince Jul 3, 2006 Accepting new patients

Locations

20 Hospital Dr
Ste 3
Toms River, NJ 08755
Phone (732) 341-9900

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1609807379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "PERRINEVILLE",
            "state": "NJ",
            "postal_code": "085350356",
            "telephone_number": "732-321-1100",
            "fax_number": "732-321-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LAHAWAY CREEK CT",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "08510",
            "telephone_number": "908-770-8025",
            "fax_number": "732-321-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIKEZIE",
        "first_name": "PIUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA62398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6919308",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA62398",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millstone Township, NJ

Sources for this page

Verify at the official NPI Registry.