Ibilola Ighama Amegor, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA61110 Issued in NJ

Practice address

88 Chancellor Avenue
Newark, NJ 07112-2248

Phone

(973) 926-4400

Fax

(973) 926-4660

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Quality Care Pediatrix

  • Pediatrics Physician
  • Newark, NJ
  • NPI 1639251804
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659453173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CHANCELLOR AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122248",
            "telephone_number": "973-926-4400",
            "fax_number": "973-926-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CHANCELLOR AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122248",
            "telephone_number": "973-926-4400",
            "fax_number": "973-926-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGHAMA AMEGOR",
        "first_name": "IBILOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA61110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6467105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ideal Home Care Agency LLC
• Nicole Idelson, LSW
• Oluwakemi Idowu, LSW
• Nkeruka Linda Iferika
• Sheindel Simcha Ifrah, DO
• Ashley Ignatiuk, MSC, MD, FRCSC
• Nandini Ignatius, MD
• Celestine Ike
• Nnamdi Ike
• Ronald Ikechi

• Pediatrics Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.