Individual provider Active NPI

Perpetua Nwanyichukwu Azubuike, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Abington, PA
National Provider Identifier
1679313308
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1200 Old York Road, Abington Memorial Hospital Gme Offi
Abington, PA 19001-3788 United States
Abington, PA 19001
Phone
(215) 481-2494
Fax
(215) 481-3485
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1200 Old York Road, Abington Memorial Hospital Gme Offi
Abington, PA 19001-3788 United States
Abington, PA 19001

Mailing address

1200 Old York Road, Abington Memorial Hospital Gme Offi
Abington, PA 19001-3788 United States
Abington, PA 19001
Phone (215) 481-2494

Other names 1

  • Perpetua Nwanyichukwu Uzuegbu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240724003955 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0547706699

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1679313308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK ROAD, ABINGTON MEMORIAL HOSPITAL GME OFFI",
            "address_2": "ABINGTON, PA 19001-3788 UNITED STATES",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-481-2494",
            "fax_number": "215-481-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK ROAD, ABINGTON MEMORIAL HOSPITAL GME OFFI",
            "address_2": "ABINGTON, PA 19001-3788 UNITED STATES",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-481-2494",
            "fax_number": "215-481-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBUIKE",
        "first_name": "PERPETUA",
        "middle_name": "NWANYICHUKWU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERPETUA",
            "last_name": "UZUEGBU",
            "middle_name": "NWANYICHUKWU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.