Individual provider Active NPI

Nneka Vivian Okeifufe, MD

  • Internal Medicine Physician
  • Camden, NJ
National Provider Identifier
1700470416
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12240700 Issued in NJ
Practice address
817 Federal St
Camden, NJ 08103-1539
Phone
(856) 583-2400
NPI assigned
Feb 23, 2021
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD479460 PA
Internal Medicine Physician 207R00000X 125.077191 IL
Internal Medicine Physician 207R00000X 25MA12240700 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD479460 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MT230043 PA

Addresses

Primary practice location

817 Federal St
Camden, NJ 08103-1539

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5189
Phone (800) 836-7536

Other practice location 1

2101 W Lehigh Ave Ste A
Philadelphia, PA 19132-2664
Phone (267) 866-7211

Other practice location 2

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-5673

Other practice location 3

100 W Sproul Rd Ste 221
Springfield, PA 19064-2033
Phone (610) 338-2722

Other practice location 4

3401 N Broad St
Philadelphia, PA 19140-5189
Phone (800) 836-7536

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250314002312 NJ Practitioner - Internal Medicine 3779942081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camcare Health CorporationGroup PAC ID 2567365117, 27 clinicians

Practice addresses (Care Compare)

817 Federal St
Camden, NJ 08103-1539
Phone (856) 541-3270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.077191ILMDInternal Medicine Physician
MT230043PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Pennsylvania Holding, LLC Internal Medicine Current Accepting new patients
Camcare Health Corporation Current Accepting new patients
Camcare Health Corporation CurrentSince Jan 10, 2025 Accepting new patients
Camcare Health Corporation CurrentSince Jan 10, 2025 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

2101 W Lehigh Ave
Ste A
Philadelphia, PA 19132
Phone (267) 866-7211

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1700470416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405189",
            "telephone_number": "800-836-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 W Lehigh Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191322664",
            "country_code": "US",
            "telephone_number": "267-866-7211",
            "fax_number": "267-546-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-5673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Sproul Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642033",
            "country_code": "US",
            "telephone_number": "610-338-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405189",
            "country_code": "US",
            "telephone_number": "800-836-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEIFUFE",
        "first_name": "NNEKA",
        "middle_name": "VIVIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD479460",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.077191",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12240700",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD479460",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MT230043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.