Individual provider Active NPI

Chiazoka Onyeka Nduaguba, MD

  • Anesthesiology Physician
  • Livingston, NJ
National Provider Identifier
1639330004
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MAO9111700 Issued in NJ
Practice address
200 S Orange Ave
Livingston, NJ 07039-5817
Phone
(973) 577-4056
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MAO9111700 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Livingston, NJ 07039-5817

Mailing address

832 Greene LN
Cherry Hill, NJ 08003-1142
Phone (425) 232-7099

Other practice location 1

832 Greene Ln
Cherry Hill, NJ 08003-1142
Phone (425) 232-7099

Other practice location 2

175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Phone (609) 914-6000

Other practice location 3

218A Sunset Rd Fl 2
Willingboro, NJ 08046-1110
Phone (609) 444-0599

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cnduaguba260378@directvirtua.org
Direct Messaging Address cnduaguba260378@directvirtua.org

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
I20130524000593 NJ Practitioner - Anesthesiology 9638317084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO9111700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Jersey Anesthesia Associate PA Anesthesiology CurrentSince Feb 1, 2014 Accepting new patients
Virtua Medical Group, PA Anesthesiology Current Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2023 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2023 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800

1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

218A Sunset Rd
Fl 2
Willingboro, NJ 08046
Phone (609) 440-0599

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • Direct secure messaging: cnduaguba260378@directvirtua.org

Organizations & group practices 5

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 2

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1639330004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 GREENE LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031142",
            "telephone_number": "425-232-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-577-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 Greene Ln",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031142",
            "country_code": "US",
            "telephone_number": "425-232-7099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "609-914-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218A Sunset Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461110",
            "country_code": "US",
            "telephone_number": "609-444-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUAGUBA",
        "first_name": "CHIAZOKA",
        "middle_name": "ONYEKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MAO9111700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnduaguba260378@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 1",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnduaguba260378@directvirtua.org",
            "affiliation": "N",
            "address_1": "218A Sunset Rd Fl 2",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.