Individual provider Active NPI

Chioma Genevieve Obiukwu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1891232005
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00699900 Issued in NJ
Practice address
1540 Kuser Rd
Hamilton, NJ 08619-3828
Phone
(609) 585-0022
Fax
(609) 585-0221
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 26NJ00699900 NJ Primary

Addresses

Primary practice location

1540 Kuser Rd
Hamilton, NJ 08619-3828

Mailing address

1540 Kuser Rd
Hamilton, NJ 08619-3828
Phone (609) 585-0022

Other practice location 1

100 Century Pkwy Ste 350
Mount Laurel, NJ 08054-1149
Phone (856) 482-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cobiukwu302365@directvirtua.org

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
I20170405001368 NJ Practitioner - Nurse Practitioner 7618253618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Century Pkwy
Mount Laurel, NJ 08054-1149

3242 Route 206
Bordentown, NJ 08505-4517

941 White Horse Ave
Suite 12
Hamilton, NJ 08610-1407
Phone (609) 585-0022

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00699900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Genoly Caring Center LLC Psychiatric/Mental Health CurrentSince Jun 2, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 14, 2025 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

100 Century Pkwy
Ste 350
Mount Laurel, NJ 08054
Phone (856) 482-9000

941 White Horse Ave
Ste 12
Trenton, NJ 08610
Phone (609) 581-9100

1540 Kuser Rd
Ste A3
Trenton, NJ 08619
Phone (609) 208-3053

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1891232005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 KUSER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193828",
            "telephone_number": "609-585-0022",
            "fax_number": "609-585-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 KUSER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193828",
            "telephone_number": "609-585-0022",
            "fax_number": "609-585-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Century Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541149",
            "country_code": "US",
            "telephone_number": "856-482-9000",
            "fax_number": "856-482-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIUKWU",
        "first_name": "CHIOMA",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00699900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cobiukwu302365@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Century Pkwy Ste 350",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.