Individual provider Active NPI

Ikenna Madufor Ozims, DNP

  • Gerontology Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1952880353
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00847000 Issued in NJ
Practice address
1 Riverfront PLZ Ste 300
Newark, NJ 07102-5412
Phone
(201) 273-7047
Fax
(855) 998-4358
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00847000 NJ Primary
Primary Care Nurse Practitioner 363LP2300X 2233767 NJ

Addresses

Primary practice location

1 Riverfront PLZ Ste 300
Newark, NJ 07102-5412

Mailing address

625 Union St
Linden, NJ 07036-2554
Phone (201) 878-6442

Other practice location 1

625 Union St
Linden, NJ 07036-2554
Phone (201) 878-6442

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
I20190625002425 NJ Practitioner - Nurse Practitioner 2466786454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2508 Oakgrove St NW
Grand Rapids, MI 49504-2454

625 Union St
Linden, NJ 07036-2554

741 Broadway
Newark, NJ 07104-4309

PO Box
Cincinnati, OH 45263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00847000NJMDGerontology Nurse Practitioner
2233767NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New Jersey LLC CurrentSince May 1, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince May 1, 2025 Accepting new patients

Locations

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

Interoperability endpoints

  • Direct secure messaging: ikenna.ozims.1@32913.direct.athenahealth.com

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1952880353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 UNION ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070362554",
            "telephone_number": "201-878-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PLZ STE 300",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025412",
            "telephone_number": "201-273-7047",
            "fax_number": "855-998-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Union St",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070362554",
            "country_code": "US",
            "telephone_number": "201-878-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZIMS",
        "first_name": "IKENNA",
        "middle_name": "MADUFOR",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00847000",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "2233767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.