Individual provider Active NPI

Jenifer Chioma Nwosu, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1821376682
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09555700 Issued in NJ
Practice address
28 Valley Rd # 148
Montclair, NJ 07042-2709
Phone
(973) 559-4600
Fax
(855) 998-4358
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09555700 NJ Primary

Addresses

Primary practice location

28 Valley Rd # 148
Montclair, NJ 07042-2709

Mailing address

415 Cambridge St
Piscataway, NJ 08854-1804
Phone (908) 342-0405

Other practice location 1

1600 Georges Ave
Suite111
Rahway, NJ 07065-9998
Phone (908) 994-5000

Other practice location 2

30 Knightsbridge Rd Ste 525
Piscataway, NJ 08854-3963
Phone (844) 403-4325

Other names 1

  • Chioma Jenifer Nwosu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150108001857 NJ Practitioner - Internal Medicine 5698098168 Reassigns benefits to 2 organizations
I20230915002011 NY Practitioner - Internal Medicine 5698098168

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1600 Georges Ave
Suite 111
Rahway, NJ 07065-9998

2508 Oakgrove St NW
Grand Rapids, MI 49504-2454

500 Kirts Blvd
Suite 100
Troy, MI 48084-4135

PO Box
Cincinnati, OH 45263

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of NJ LLC CurrentSince Jun 22, 2023 Accepting new patients
Harmony Medical Services of New Jersey LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

831 Bedford Ave
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: jenifer.nwosu.1@32913.direct.athenahealth.com

Organizations & group practices 3

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1821376682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CAMBRIDGE ST",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088541804",
            "telephone_number": "908-342-0405",
            "fax_number": "908-757-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD # 148",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "973-559-4600",
            "fax_number": "855-998-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Georges Ave",
            "address_2": "Suite111",
            "address_purpose": "LOCATION",
            "city": "Rahway",
            "state": "NJ",
            "postal_code": "070659998",
            "country_code": "US",
            "telephone_number": "908-994-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Knightsbridge Rd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543963",
            "country_code": "US",
            "telephone_number": "844-403-4325",
            "fax_number": "424-625-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "JENIFER",
        "middle_name": "CHIOMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09555700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIOMA",
            "last_name": "NWOSU",
            "middle_name": "JENIFER",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.