Individual provider Active NPI

Adaeze Anneliese Iwu, MD, MBA

  • Emergency Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1639437437
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA09591100 Issued in NJ
Practice address
683 Route 18
East Brunswick, NJ 08816-3721
Phone
(848) 206-0091
Fax
(848) 206-0097
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 106043 MN
Emergency Medicine Physician 207P00000X 25MA09591100 NJ Primary

Addresses

Primary practice location

683 Route 18
East Brunswick, NJ 08816-3721

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

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
I20141216000801 NJ Practitioner - Emergency Medicine 6608011242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Medical Associates LLCGroup PAC ID 0547334427, 20 clinicians
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (954) 939-5000

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09591100NJMDEmergency Medicine Physician
106043MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Emergency Medical Associates LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Jul 1, 2021 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Feb 1, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

315 W Main St
Freehold, NJ 07728
Phone (732) 431-3373

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.adaezeiwu@136290.advancedmd-direct.com

Organizations & group practices 4

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1639437437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163721",
            "telephone_number": "848-206-0091",
            "fax_number": "848-206-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWU",
        "first_name": "ADAEZE",
        "middle_name": "ANNELIESE",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "106043",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09591100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.