Individual provider Active NPI

Chigoziri Ojuka, CNP

  • Family Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1639574684
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN268806 Issued in MA
Practice address
950 N Main St
Ste 203
Randolph, MA 02368-3064
Phone
(617) 331-6637
NPI assigned
Nov 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN268806 MA Primary

Addresses

Primary practice location

950 N Main St
Ste 203
Randolph, MA 02368-3064

Mailing address

950 N Main St
Ste 203
Randolph, MA 02368-3064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019000382 MA Practitioner - Nurse Practitioner 3072933712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN268806MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enrich Wellness Adult Foster Care CurrentSince Oct 19, 2020 Accepting new patients

Locations

950 N Main St
Ste 203
Randolph, MA 02368
Phone (508) 812-0706

Interoperability endpoints

  • Direct secure messaging: chigoziri.ojuka.1@8526.direct.athenahealth.com
  • Direct secure messaging: cojuka181477@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1639574684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST",
            "address_2": "STE 203",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST",
            "address_2": "STE 203",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "617-331-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJUKA",
        "first_name": "CHIGOZIRI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN268806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.