Individual provider Active NPI

Onyekachi Mgbemena

  • Licensed Practical Nurse
  • Williamstown, NJ
National Provider Identifier
1912689308
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP49543200 Issued in NJ
Practice address
338 Copperfield Dr
Williamstown, NJ 08094-9260
Phone
(609) 481-1712
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 26NP49543200 NJ Primary

Addresses

Primary practice location

338 Copperfield Dr
Williamstown, NJ 08094-9260

Mailing address

146 Quiet Cres
Sicklerville, NJ 08081-5614
Phone (609) 481-7243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NP49543200NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jotez LLC CurrentSince Mar 3, 2024 Accepting new patients

Organizations & group practices 1

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1912689308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 QUIET CRES",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815614",
            "telephone_number": "609-481-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 COPPERFIELD DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949260",
            "telephone_number": "609-481-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGBEMENA",
        "first_name": "ONYEKACHI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP49543200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.