| Dr Augustine O Chikezie, MD | |
|
6712 Washington Ave, Suite 203, Egg Harbor Twp, NJ 08234-1999 | |
| (609) 641-1155 | |
| (609) 641-1140 |
| Full Name | Dr Augustine O Chikezie |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 6712 Washington Ave, Egg Harbor Twp, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669562393 | NPI | - | NPPES |
| 001799258 | Medicaid | PA | |
| 2306294 | Medicaid | OH | |
| 02192749 | Medicaid | NY | |
| 1203011 | Medicaid | MD | |
| 7848803 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | MA05978100 (New Jersey) | Primary |
| Entity Name | Children's Health Care Associates Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427152917 PECOS PAC ID: 1052219110 Enrollment ID: O20031229000053 |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
| Entity Name | Atlanticare Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987771 PECOS PAC ID: 7911810916 Enrollment ID: O20040719001204 |
| Entity Name | Cooper Pediatric Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Augustine O Chikezie, MD 6712 Washington Ave, Suite 203, Egg Harbor Township, NJ 08234-1999 Ph: (609) 641-1155 | Dr Augustine O Chikezie, MD 6712 Washington Ave, Suite 203, Egg Harbor Twp, NJ 08234-1999 Ph: (609) 641-1155 |