Provider Demographics
NPI:1649415472
Name:UCHEYA, BLESSING C (MD)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:C
Last Name:UCHEYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E LAUREL RD
Mailing Address - Street 2:KENNEDY HEALTH SYSTEM
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1327
Mailing Address - Country:US
Mailing Address - Phone:856-566-6845
Mailing Address - Fax:856-566-6906
Practice Address - Street 1:18 E LAUREL RD
Practice Address - Street 2:KENNEDY HEALTH SYSTEM
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1327
Practice Address - Country:US
Practice Address - Phone:856-566-6845
Practice Address - Fax:856-566-6906
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08623400207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0240958Medicaid
NJP01299924OtherRAILROAD MEDICARE
NJP01299924OtherRAILROAD MEDICARE