Ifeanyi Azubuike

Key facts

NPI

1972801686

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

1235 Pine St
Philadelphia, PA 19107-5945

Phone

(201) 515-0635

NPI assigned

Mar 3, 2011

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2011.

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1972801686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PINE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "201-515-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075945",
            "telephone_number": "201-515-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBUIKE",
        "first_name": "IFEANYI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Philadelphia, PA · Social Worker in Pennsylvania