Provider Demographics
NPI:1710936448
Name:UMEUKEJE, JUDITH NWALIBEAKU (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:NWALIBEAKU
Last Name:UMEUKEJE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JUDITH
Other - Middle Name:NWALIBEAKU
Other - Last Name:NJEZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2320
Mailing Address - Country:US
Mailing Address - Phone:973-625-1910
Mailing Address - Fax:
Practice Address - Street 1:25 POCONO RD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2954
Practice Address - Country:US
Practice Address - Phone:973-983-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07958100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0098451Medicaid
NJ0098451Medicaid