Adaeze Nneka Ibeabuchi, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA08621600 Issued in NJ

Practice address

230 E Ridgewood Ave
BLDG 6, 2ND FL
Paramus, NJ 07652-4142

Phone

(201) 225-4700

Fax

(201) 225-4702

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Hackensack Dialysis Dialysis facility, Maywood, NJ, CCN 312615
• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

94.47

Improvement activities

40

Cost

80.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Comprehensive Nephrology of Northern New Jersey LLC

  • Nephrology Physician
  • Paramus, NJ
  • NPI 1467849364
  Medicare reassignment Authorized official
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  NPD (past)
• John S. Pantazopoulos, MD PA

  • Cardiovascular Disease Physician
  • Paramus, NJ
  • NPI 1609946565
  NPD (past)

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Maywood, NJ
  • NPI 1932477130

  Dialysis facility

  Care Compare affiliation Name & address match
• Bergen County Improvement Authority

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1689682999
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1811219918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170157",
            "telephone_number": "201-967-8425",
            "fax_number": "201-263-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "address_2": "BLDG 6, 2ND FL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-225-4700",
            "fax_number": "201-225-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEABUCHI",
        "first_name": "ADAEZE",
        "middle_name": "NNEKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "242605",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08621600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409871",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geeti Hussaini
• Gregory Hyduchak
• Hygge Healer LLC
• I G Optical Corp.
• Perry Iasiello
• Emily T Ignozza, PA-C
• Igor M Povzhitkov M D P C
• Image Plastic Surgery LLC
• Imperial Caregivers LLC
• Michael Implicito, PT

• Nephrology Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.