Individual provider Active NPI

Uche Ogochukwu Eneanya, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mechanicsburg, PA
National Provider Identifier
1912020736
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MT186303 Issued in PA
Practice address
175 Lancaster Blvd
Mechanicsburg, PA 17055-3562
Phone
(717) 691-3755
Fax
(717) 691-3834
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MT186303 PA Primary

Addresses

Primary practice location

175 Lancaster Blvd
Mechanicsburg, PA 17055-3562

Mailing address

1258 Scobee Dr
Lansdale, PA 19446-6508
Phone (215) 361-3562

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000063 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8123173218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain Solutions of New Jersey PCGroup PAC ID 1153677158, 2 clinicians

Practice addresses (Care Compare)

10 E New York Ave
Suite 3
Somers Point, NJ 08244-2367
Phone (856) 334-9600

1014 High St N
Millville, NJ 08332-2527
Phone (856) 334-9600

123 Egg Harbor Rd
Building 500 Suite 502
Sewell, NJ 08080-9407
Phone (856) 334-9600

2250 Chapel Ave W
Suite 230
Cherry Hill, NJ 08002-2042
Phone (856) 334-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186303PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Aug 2, 2012 Accepting new patients
Advocare , LLC CurrentSince Aug 2, 2012 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

339 N Route 73
Ste 1
Berlin, NJ 08009
Phone (856) 767-8228

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1322 Route 72 W
Ste 11
Manahawkin, NJ 08050
Phone (609) 597-6092

7665 Maple Ave
Pennsauken, NJ 08109
Phone (856) 665-9520

123 Egg Harbor Rd
Ste 502
Sewell, NJ 08080

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1912020736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 SCOBEE DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466508",
            "telephone_number": "215-361-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANCASTER BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553562",
            "telephone_number": "717-691-3755",
            "fax_number": "717-691-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEANYA",
        "first_name": "UCHE",
        "middle_name": "OGOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MT186303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.