Individual provider Active NPI

Assumpta N Nwachukwu, NP

  • Primary Care Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1942405063
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00129500 Issued in NJ
Practice address
211 County House Rd
Sewell, NJ 08080-2525
Phone
(877) 823-5230
Fax
(215) 823-5265
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00129500 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00129500 NJ Primary

Addresses

Primary practice location

211 County House Rd
Sewell, NJ 08080-2525

Mailing address

211 County House Rd
Sewell, NJ 08080-2525
Phone (877) 823-5230

Other practice location 1

300 S Broadway
Camden, NJ 08103-1210
Phone (877) 232-5240

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
I20231207004124 NJ Order and Referring Only - Nurse Practitioner 4789778036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Disabilities Health Alliance, Inc Past Accepting new patients
Developmental Disabilities Health Services PA Past Accepting new patients

Organizations & group practices 2

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1942405063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COUNTY HOUSE RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802525",
            "telephone_number": "877-823-5230",
            "fax_number": "215-823-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COUNTY HOUSE RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802525",
            "telephone_number": "877-823-5230",
            "fax_number": "215-823-5265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031210",
            "country_code": "US",
            "telephone_number": "877-232-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "ASSUMPTA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00129500",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00129500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.