Gabriel Obi Ozonuwe, PA, DC, MSACN

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00019100 Issued in NJ

Practice address

1254 S Broad St
Trenton, NJ 08610-6256

Phone

(609) 212-4404

NPI assigned

Jul 7, 2006

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

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

Enrolled in NY, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gabriel.ozonuwe.1@31873.direct.athenahealth.com

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.

• Hamilton Trenton Urgent Care Center, LLC

  dba Ozedi Health Center for Integrative & Functional Health

  • Family Medicine Physician
  • Trenton, NJ
  • NPI 1265680912
  Medicare reassignment Authorized official
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD
• Emergency Medical Consultants of South Jersey LLC

  • Hospitalist Physician
  • East Orange, NJ
  • NPI 1659523264
  NPD (past)
• Essex Emergency Physicians, PC

  • Emergency Medicine Physician
  • East Orange, NJ
  • NPI 1851378244
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1669404687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SANDCASTLE CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275341",
            "telephone_number": "732-986-3893",
            "fax_number": "732-961-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106256",
            "telephone_number": "609-212-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZONUWE",
        "first_name": "GABRIEL",
        "middle_name": "OBI",
        "name_prefix": "Mr.",
        "credential": "PA, DC, MSACN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00019100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1669404687",
            "identifier": "5723L34971",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristhel Ortega
• Charles M Ortegon, MD
• Aymen Osman, MD
• Harry C. Owens Jr.
• Oxy-Med Homecare Equipment Corp.
• P&P Pharmacy, LLC (Rapps Pharmacy West)
• Sariya A Pacheco-Smith, MD
• Alexandra Marie Malabanan Pacia, MD
• Arthur G Pacia, MD
• Sujatha Padi, DDS

• Physician Assistant in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.