Individual provider Active NPI

Ngozi Udoka Iloka, PT.DPT.MPH

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1699854604
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01056800 Issued in NJ
Practice address
609 Bellair Ave
Vineland, NJ 08360-5618
Phone
(856) 437-0601
Fax
(856) 581-7991
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01056800 NJ Primary

Addresses

Primary practice location

609 Bellair Ave
Vineland, NJ 08360-5618

Mailing address

218 Erial Rd
Sicklerville, NJ 08081-3100
Phone (609) 598-1257

Other names 1

  • Ngozi Udoka Blanks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address niloka@tempocarehealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070428000098 NJ Practitioner - Physical Therapist in Private Practice 2769480862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01056800NJMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1699854604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ERIAL RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813100",
            "telephone_number": "609-598-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BELLAIR AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605618",
            "telephone_number": "856-437-0601",
            "fax_number": "856-581-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOKA",
        "first_name": "NGOZI",
        "middle_name": "UDOKA",
        "name_prefix": "Dr.",
        "credential": "PT.DPT.MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01056800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "niloka@tempocarehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "100 Errickson Ave",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080571214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NGOZI",
            "last_name": "BLANKS",
            "middle_name": "UDOKA",
            "credential": "PT.DPT.MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.