DR. CHIBUOKEM PRINCE IKWUAZOM MD
NPI 1497336804
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 16, 2021PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 613-8652 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chibuokem Prince Ikwuazom Md NPPES

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

DR. CHIBUOKEM PRINCE IKWUAZOM MD (NPI 1497336804) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497336804
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CHIBUOKEM PRINCE IKWUAZOMCredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012 · (718) 613-8652
Sole ProprietorNo
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
NPI 1497336804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

450 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chibuokem Prince Ikwuazom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Chibuokem Ikwuazom's NPI number?

The NPI number for Chibuokem Ikwuazom is 1497336804. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Chibuokem Ikwuazom located?

Chibuokem Ikwuazom practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 613-8652.

What is Chibuokem Ikwuazom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chibuokem Ikwuazom enrolled in Medicare?

Yes. Chibuokem Ikwuazom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chibuokem Ikwuazom was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.