Provider Demographics
NPI:1659328987
Name:ONWUKA, ALOYSIUS CHUKWUMUCHE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALOYSIUS
Middle Name:CHUKWUMUCHE
Last Name:ONWUKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 BAYSHORE ROAD
Mailing Address - Street 2:
Mailing Address - City:VILLAS
Mailing Address - State:NJ
Mailing Address - Zip Code:08251
Mailing Address - Country:US
Mailing Address - Phone:609-886-4441
Mailing Address - Fax:609-889-1766
Practice Address - Street 1:1740 BAYSHORE ROAD
Practice Address - Street 2:
Practice Address - City:VILLAS
Practice Address - State:NJ
Practice Address - Zip Code:08251
Practice Address - Country:US
Practice Address - Phone:609-886-4441
Practice Address - Fax:609-889-1766
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07616300207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI05915Medicare UPIN