Active NPI
Chukwuma U Ojukwu, MD
- Pediatrics Physician
- Amityville, NY
National Provider Identifier
1912987280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 217657
- Practice address
- Brunswick Hospital Center
Amityville, NY 11701 - Phone
- (631) 789-7761
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 217657 | NY | Primary |
Addresses
Primary practice location
Brunswick Hospital Center
Amityville, NY 11701
Mailing address
17 Sagamore Lane
Dix Hills, NY 11746
Phone (631) 491-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02131340 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110513000284 | NY | Order and Referring Only - Pediatric Medicine | 8325224017 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1912987280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SAGAMORE LANE",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "11746",
"telephone_number": "631-491-7123",
"fax_number": "516-542-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRUNSWICK HOSPITAL CENTER",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "11701",
"telephone_number": "631-789-7761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJUKWU",
"first_name": "CHUKWUMA",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "217657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02131340",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.