Active NPI
Ogechi Ukaegbu, DC
- Chiropractor
- Perth Amboy, NJ
National Provider Identifier
1730617226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00745600
- Practice address
- 788 Convery Blvd
Perth Amboy, NJ 08861-2584 - Phone
- (732) 324-4300
- Fax
- (732) 324-8211
- NPI assigned
- May 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38MC00745600 | NJ | |
| Chiropractor | 111N00000X | 38MC00745600 | NJ | Primary |
Addresses
Primary practice location
788 Convery Blvd
Perth Amboy, NJ 08861-2584
Mailing address
1570 Andrew St
Union, NJ 07083-5219
Phone (908) 463-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00745600 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Medical Group of Branchburg LLC | Past | Accepting new patients |
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.
-
dba Performance Rehabilitation & Regenerative Medicine
- Physical Medicine & Rehabilitation Physician
- Branchburg, NJ
- NPI 1679075642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1730617226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 ANDREW ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070835219",
"telephone_number": "908-463-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "788 CONVERY BLVD",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612584",
"telephone_number": "732-324-4300",
"fax_number": "732-324-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKAEGBU",
"first_name": "OGECHI",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00745600",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00745600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.