Individual provider Active NPI

Emeka Benson Boka, M.D.

  • Psychiatry Physician
  • Ambler, PA
National Provider Identifier
1891182820
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD486209 Issued in PA
Practice address
722 E Butler Pike
Ambler, PA 19002-2310
Phone
(215) 643-7800
NPI assigned
Apr 16, 2015
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD486209 PA Primary

Addresses

Primary practice location

722 E Butler Pike
Ambler, PA 19002-2310

Mailing address

PO Box 44
Drexel Hill, PA 19026-0044
Phone (856) 895-1327

Other names 1

  • Dr. Chukwuemeka Chinedu Nwajagu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250205003630 PA Practitioner - Psychiatry 2860705126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Belmont Behavioral Hospital LLCGroup PAC ID 1153636691, 11 clinicians

Practice addresses (Care Compare)

4200 Monument Rd
Philadelphia, PA 19131-1625
Phone (215) 877-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Behavioral Hospital, LLC CurrentSince Aug 11, 2025 Accepting new patients
Belmont Behavioral Hospital, LLC CurrentSince Aug 11, 2025 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800

4200 Monument Rd
Philadelphia, PA 19131
Phone (215) 456-6611

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1891182820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190260044",
            "telephone_number": "856-895-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E BUTLER PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022310",
            "telephone_number": "215-643-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKA",
        "first_name": "EMEKA",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD486209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUKWUEMEKA",
            "last_name": "NWAJAGU",
            "middle_name": "CHINEDU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.