Individual provider Active NPI

Ogori N Kalu, MD

  • Surgical Oncology Physician
  • Newark, NJ
National Provider Identifier
1992942676
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA08831300 Issued in NJ
Practice address
268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Phone
(973) 877-2770
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A108986 CA
Surgery Physician 208600000X 247698 NY
Surgical Oncology Physician 2086X0206X 25MA08831300 NJ Primary

Addresses

Primary practice location

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Mailing address

609 W South Orange Ave
South Orange, NJ 07079-1063
Phone (646) 247-2013

Other practice location 1

300 Central Avenue
Women's Center, 4th floor
East Orange, NJ 07018
Phone (862) 205-4989

Other identifiers 1

IdentifierTypeStateIssuer
0251330MedicaidNJ

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
I20110512000832 NJ Practitioner - Surgical OncologyPractitioner - Family PracticePractitioner - General SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Plastic and Reconstructive Surgery 9133273675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: Family Practice, General Surgery, Peripheral Vascular Disease, Plastic and Reconstructive Surgery
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Healing Associates PCGroup PAC ID 2668789116, 11 clinicians

Practice addresses (Care Compare)

101 Whippany Rd
Care One at Hanover
Whippany, NJ 07981-1407
Phone (973) 599-7500

221 County Rd
Cresskill, NJ 07626-1605
Phone (973) 427-9200

76 Passaic Ave
Livingston, NJ 07039-5811
Phone (973) 427-9200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
86.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108986CAMDSurgery Physician
247698NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Healing Associates PC CurrentSince Nov 16, 2019 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Surgery CurrentSince Nov 27, 2017 Accepting new patients
Medassist USA LLC CurrentSince Sep 2, 2022 Accepting new patients
Central Avenue Professional Services, PC Surgery CurrentSince Jan 1, 2016 Accepting new patients
Robert Marriott Medical Corp Surgery CurrentSince Jun 9, 2021 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

221 County Rd
#One
Cresskill, NJ 07626
Phone (201) 567-4444

290 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-0789

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

55 Madison Ave
Ste 400
Morristown, NJ 07960
Phone (973) 983-3443

309 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054
Phone (267) 408-6770

800 River Rd
New Milford, NJ 07646
Phone (201) 568-0033

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

268 Mlk Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

94 Stevens Rd
Toms River, NJ 08755
Phone (732) 286-5005

81 Northfield Ave
Ste 101
West Orange, NJ 07052
Phone (973) 699-5931

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

Organizations & group practices 6

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992942676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W SOUTH ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791063",
            "telephone_number": "646-247-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-877-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Central Avenue",
            "address_2": "Women's Center, 4th floor",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "07018",
            "country_code": "US",
            "telephone_number": "862-205-4989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALU",
        "first_name": "OGORI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108986",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "247698",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA08831300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251330",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.