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DR. AUGUSTINE CHUKWUJEKWU OKPALA M.D
NPI 1124085766
Internal Medicine in Newton, NJ

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
175 HIGH ST, NEWTON MEMORIAL HOSPITAL, NEWTON, NJ 07860(973) 579-8321 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Augustine Chukwujekwu Okpala M.d NPPES

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

DR. AUGUSTINE CHUKWUJEKWU OKPALA M.D (NPI 1124085766) is an individual internal medicine provider in Newton, New Jersey, licensed in New Jersey (25MA08035200) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1124085766
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AUGUSTINE CHUKWUJEKWU OKPALACredential: M.D
Location Address175 HIGH ST, NEWTON MEMORIAL HOSPITALNewton, NJ 07860-1004
Mailing Address175 High StNewton, NJ 07860-1004 · (973) 579-8321
Phone(973) 579-8321
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 7, 2012
✔ NPI 1124085766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08035200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
175 HIGH ST, Newton, NJ 07860
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Other Identifiers 4

Medicare PIN101878ZDQ0NJ
Medicaid0105821NJ
Medicare PIN101878YCGANJ
OtherP00808383NJ · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Augustine Chukwujekwu Okpala M.d 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 ID941213466
PECOS Enrollment IDI20060728000048
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.

Medicare Billing Reassignment

Medicare enrollment records show Augustine Okpala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Victory Medical Clinic LLC
14 mi
Internal Medicine
433 SAND SHORE RD
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1013367465 (862) 254-2299

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
853 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
795 services131 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
608 services45 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
407 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
297 services89 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
204 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.62 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier35 claims718 services$4.29 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers27 claims8,034 services$0.30 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier19 claims5,445 services$0.53 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier25 claims25 services$4.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers34 claims34 services$79.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ARADHANA AGGARWAL
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
CHRISTINE KALAFUT PA-C
Physician Assistant (Medical)
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-0453
DR. HRISTO VASSILEV STOYTCHEV MD
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
MARISA PARISE PETRUCELLI D.O.
Anesthesiology
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
VANDANKUMAR PATEL MD
Internal Medicine (Pulmonary Disease)
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
JEAN KAMALA MALLIPUDI MD
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8321
NEWTON MEDICAL CENTER
Psychiatric Unit
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8723
DR. DEVINA JAYESH ADALJA MD
Hospitalist
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8321

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 Augustine Okpala's NPI number?

The NPI number for Augustine Okpala is 1124085766. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Augustine Okpala located?

Augustine Okpala practices at 175 High St Newton Memorial Hospital, Newton, NJ 07860. The listed phone number is (973) 579-8321.

What is Augustine Okpala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Augustine Okpala enrolled in Medicare?

Yes. Augustine Okpala 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.

Which organization bills Medicare for Augustine Okpala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Augustine Okpala reassigns Medicare benefits to Victory Medical Clinic LLC (Hackettstown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Augustine Okpala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Augustine Okpala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Augustine Okpala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Augustine Okpala affiliated with any hospitals?

According to CMS data, Augustine Okpala is affiliated with Clara Maass Medical Center, Cooperman Barnabas Medical Center, Carewell Health Medical Center, Hackettstown Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Augustine Okpala was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.