Individual provider Active NPI

Nkemamaka Chinenyenwa Okpala, MD

  • Internal Medicine Physician
  • Hackettstown, NJ
National Provider Identifier
1992062749
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09363400 Issued in NJ
Practice address
433 Sand Shore Rd
Hackettstown, NJ 07840-5504
Phone
(862) 254-2299
Fax
(862) 254-2300
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09363400 NJ Primary

Addresses

Primary practice location

433 Sand Shore Rd
Hackettstown, NJ 07840-5504

Mailing address

433 Sand Shore Rd
Hackettstown, NJ 07840-5504
Phone (862) 254-2299

Other identifiers 1

IdentifierTypeStateIssuer
0379239MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210000760 NJ Practitioner - Internal Medicine 2163651308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Medical Clinic LLCGroup PAC ID 8224324843, 2 clinicians

Practice addresses (Care Compare)

433 Sand Shore Rd
Hackettstown, NJ 07840-5504
Phone (862) 254-2299

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: nkemamaka.okpala.2@14300.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1992062749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SAND SHORE RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405504",
            "telephone_number": "862-254-2299",
            "fax_number": "862-254-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SAND SHORE RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405504",
            "telephone_number": "862-254-2299",
            "fax_number": "862-254-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALA",
        "first_name": "NKEMAMAKA",
        "middle_name": "CHINENYENWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09363400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379239",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.