Organization Active NPI

Ogori N Kalu MD

  • Surgical Oncology Physician
  • Newark, NJ
National Provider Identifier
1912437997
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA08831300 Issued in NJ
Legal business name
OGORI N KALU MD
Practice address
268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Phone
(973) 877-2963
Fax
(973) 877-2824
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Valerie Del Vecchio
Title
Billing Agent
Phone
(973) 687-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 25MA08831300 NJ Primary

Addresses

Primary practice location

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Mailing address

609 W South Orange Ave Apt 3C
South Orange, NJ 07079-1064
Phone (646) 247-2013

Other practice location 1

609 W South Orange Ave
South Orange, NJ 07079-1063
Phone (646) 247-2013

Other identifiers 1

IdentifierTypeStateIssuer
0251330MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1912437997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W SOUTH ORANGE AVE APT 3C",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791064",
            "telephone_number": "646-247-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-877-2963",
            "fax_number": "973-877-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W South Orange Ave",
            "address_purpose": "LOCATION",
            "city": "South Orange",
            "state": "NJ",
            "postal_code": "070791063",
            "country_code": "US",
            "telephone_number": "646-247-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OGORI N KALU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DEL VECCHIO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "973-687-7720"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA08831300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251330",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.