Nwankwo G Medical Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

NWANKWO G MEDICAL SERVICES LLC

Practice address

22 Union Ave Ste 105
Irvington, NJ 07111-5574

Phone

(973) 416-1111

Fax

(973) 416-4133

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gloria O Nwankwo, DONPI 1134113939

Title

Owner/Physician

Phone

(973) 416-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NWANKWO G MEDICAL SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria O Nwankwo, DO

  • Emergency Medicine Physician
  • Newark, NJ
  • NPI 1134113939
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1740549203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 UNION AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071115574",
            "telephone_number": "973-416-1111",
            "fax_number": "973-416-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 UNION AVE STE 105",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071115574",
            "telephone_number": "973-416-1111",
            "fax_number": "973-416-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWANKWO G MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "973-416-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8638900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWANKWO G MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nwankwo G Medical Services, LLC
• Bernadine Akunna Nwoga II
• Edward Mogere Nyamwembe, APN
• Obebe Memrial Chiropractic Center, P.C.
• Peter E Obi, PHARMD

• Adult Day Care Clinic/Center in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.