CHIDIMMA NWAOGWUGWU PA-C
NPI 1063984938
Physician Assistant - Medical in Newark, NJ

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
617 BROAD ST, NEWARK, NJ 07102(862) 246-7940(862) 246-7941 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chidimma Nwaogwugwu Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIDIMMA NWAOGWUGWU PA-C (NPI 1063984938) is an individual medical provider in Newark, New Jersey, licensed in New Jersey (25MP00619400) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2018).

NPPES Registry Identity

NPI1063984938
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHIDIMMA NWAOGWUGWUCredential: PA-C
Location Address617 BROAD STNewark, NJ 07102-4403
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(862) 246-7941
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1063984938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NJ · 25MP00619400 Licensed in NY · 022953
617 BROAD ST, Newark, NJ 07102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chidimma Nwaogwugwu Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911305198
PECOS Enrollment IDI20211004000943, I20220511000643
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
203 services194 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
75 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services26 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
23 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services21 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
617 BROAD ST
NEWARK, NJ 07102
Family Medicine
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant
617 BROAD ST
NEWARK, NJ 07102
Emergency Medicine
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Emergency Medicine
617 BROAD ST
NEWARK, NJ 07102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chidimma Nwaogwugwu's NPI number?

The NPI number for Chidimma Nwaogwugwu is 1063984938. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Chidimma Nwaogwugwu located?

Chidimma Nwaogwugwu practices at 617 Broad St, Newark, NJ 07102. The listed phone number is (862) 246-7940.

What is Chidimma Nwaogwugwu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Chidimma Nwaogwugwu enrolled in Medicare?

Yes. Chidimma Nwaogwugwu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Chidimma Nwaogwugwu was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.