Provider Demographics
NPI:1740762996
Name:ORJI, CHUKWUDI (DNP)
Entity type:Individual
Prefix:
First Name:CHUKWUDI
Middle Name:
Last Name:ORJI
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 HILLCREST ROAD
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040
Mailing Address - Country:US
Mailing Address - Phone:973-590-6870
Mailing Address - Fax:
Practice Address - Street 1:333 N BROAD ST STE 204
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3706
Practice Address - Country:US
Practice Address - Phone:908-576-7617
Practice Address - Fax:908-576-7618
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00829300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health