Individual provider Active NPI

Chukwudi Orji, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1740762996
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00829300 Issued in NJ
Practice address
333 N Broad St Ste 204
Elizabeth, NJ 07208-3706
Phone
(908) 576-7617
Fax
(908) 576-7618
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00829300 NJ Primary

Addresses

Primary practice location

333 N Broad St Ste 204
Elizabeth, NJ 07208-3706

Mailing address

59 Hillcrest Road
Maplewood, NJ 07040
Phone (973) 590-6870

Other practice location 1

137 Evergreen Pl Ste 3C
East Orange, NJ 07018-2005
Phone (973) 766-1265

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desktop

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014000479 NJ Practitioner - Nurse Practitioner 1153652755 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Empowerment Associates LLCGroup PAC ID 4688049919, 3 clinicians

Practice addresses (Care Compare)

333 N Broad St
Suite 205
Elizabeth, NJ 07208-3706
Phone (908) 576-7617

76 W Jimmie Leeds Rd
Suite 305
Galloway, NJ 08205-9418
Phone (609) 916-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Consult Psychiatric/Mental Health CurrentSince Aug 21, 2019 Accepting new patients
It Takes a Family CurrentSince Oct 14, 2020 Accepting new patients
Apex Healthcare Services, LLC Current Accepting new patients
Family Empowerment Associates, LLC CurrentSince Oct 22, 2023 Accepting new patients
L&a Absolute Care LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1104 Route 130 N
Ste K
Cinnaminson, NJ 08077
Phone (609) 933-7044

137 Evergreen Pl
Ste 3C
East Orange, NJ 07018
Phone (973) 766-1265

333 N Broad St
Ste 204
Elizabeth, NJ 07208
Phone (732) 659-0012

76 W Jimmie Leeds Rd
Ste 402
Galloway, NJ 08205
Phone (609) 272-0072

76 W Jimmie Leeds Rd
Ste 305
Galloway, NJ 08205
Phone (609) 334-8899

40 Union Ave
Ste 301
Irvington, NJ 07111
Phone (862) 849-2618

1200 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 454-5100

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1740762996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 HILLCREST ROAD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-590-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BROAD ST STE 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083706",
            "telephone_number": "908-576-7617",
            "fax_number": "908-576-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Evergreen Pl Ste 3C",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070182005",
            "country_code": "US",
            "telephone_number": "973-766-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORJI",
        "first_name": "CHUKWUDI",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00829300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "333 N Broad St Ste 205",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072083706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.