Individual provider Active NPI

Jessica Chioma Ohiri, MD

  • Pediatrics Physician
  • Newark, NJ
National Provider Identifier
1649844721
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA12417500 Issued in NJ
Practice address
41-51 Wilson Ave Ste 2-D
Newark, NJ 07105-3269
Phone
(973) 589-7337
Fax
(973) 589-1905
NPI assigned
May 13, 2021
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA12417500 NJ Primary

Addresses

Primary practice location

41-51 Wilson Ave Ste 2-D
Newark, NJ 07105-3269

Mailing address

1415 Thelma Dr
Union, NJ 07083-6220
Phone (908) 327-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12417500NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1649844721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 THELMA DR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836220",
            "telephone_number": "908-327-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-51 WILSON AVE STE 2-D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053269",
            "telephone_number": "973-589-7337",
            "fax_number": "973-589-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHIRI",
        "first_name": "JESSICA",
        "middle_name": "CHIOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12417500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.