Individual provider Active NPI

Mary Onwuka, MD

  • Hospitalist Physician
  • Atlantic City, NJ
National Provider Identifier
1649290636
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MA72678 Issued in NJ
Practice address
1925 Pacific Ave
Atlanticare Regional Medical Center
Atlantic City, NJ 08401-6713
Phone
(609) 441-8146
NPI assigned
Jul 20, 2006
Last updated
Mar 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MA72678 NJ Primary

Addresses

Primary practice location

1925 Pacific Ave
Atlanticare Regional Medical Center
Atlantic City, NJ 08401-6713

Mailing address

2 Heather CT
Linwood, NJ 08221-2172

Other identifiers 1

IdentifierTypeStateIssuer
8619107MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031103000412 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0244142867 Reassigns benefits to 4 organizations
I20150901001655 PA Practitioner - Internal Medicine 0244142867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mastermind Healthcare LLCGroup PAC ID 4486048873, 3 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (732) 693-1214

200 New Rd
Linwood, NJ 08221-1306
Phone (609) 748-4199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72678NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mastermind Healthcare, LLC CurrentSince Mar 1, 2022 Accepting new patients
Maez Integrative Healthcare, LLC CurrentSince Jul 22, 2020 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 20, 2015 Accepting new patients
Shore Atlantic Medicine LLC CurrentSince Jul 1, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 20, 2015 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Clinical Staffing Solutions P.C. Hospitalist Past Accepting new patients
Hera Inpatient Services Hospitalist Past Accepting new patients

Locations

1925 Pacific Ave
Fl 5
Atlantic City, NJ 08401
Phone (609) 441-2122

4 Moore Rd
Cape May Court House, NJ 08210
Phone (609) 465-1196

502 Route 9 N
Cape May Court House, NJ 08210
Phone (609) 465-7633

200 New Rd
Linwood, NJ 08221
Phone (609) 354-5553

1740 Bayshore Rd
Villas, NJ 08251
Phone (609) 886-4441

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23733/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1649290636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HEATHER CT",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PACIFIC AVE",
            "address_2": "ATLANTICARE REGIONAL MEDICAL CENTER",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016713",
            "telephone_number": "609-441-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUKA",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "MA72678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8619107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.