Adaorah Jacinta Iboko, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA11906800 Issued in NJ

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 745-8600

NPI assigned

Mar 26, 2020

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

Electronic endpoints 2

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

Specialty

Emergency Medicine

Education

Cooper Medical School of Rowan University, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: njexchange@patientfirstclinics.com

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.

• Rwjbh Associates 2, LLC

  • Multi-Specialty Clinic/Center
  • New Brunswick, NJ
  • NPI 1114554532
  Medicare reassignment
• Patient First New Jersey Physicians Group LLC

  • Family Medicine Physician
  • Woodbury, NJ
  • NPI 1396528980
  NPD
• Southern Bank Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Brunswick, NJ
  • NPI 1629205844
  NPD
• Patient First New Jersey Physicians Group LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1285317750
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1669009882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "856-629-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Mantua Pike",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080963233",
            "country_code": "US",
            "telephone_number": "856-812-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBOKO",
        "first_name": "ADAORAH",
        "middle_name": "JACINTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA11906800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adaorah.iboko2@envisionhealth.com",
            "affiliation": "N",
            "address_1": "254 Easton Ave",
            "city": "New Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089011766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "630 Mantua Pike",
            "city": "Woodbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080963233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hyacinth AIDS Foundation
• Hyacinth Foundation a New Jersey Nonprofit Corporation
• Matthew Lloyd Hylton, NP
• Karen K Iannuzzi, MSN, RN, CPNP
• Victoria O Ibitoye
• Pierre Lewis Ibraheem, MD
• Angel N Ibrahim, PA-C
• Mark Ibrahim, DO
• Daniel Idahosa
• Izza Iftikhar, M.D.

• Emergency Medicine Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.