Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chidimma Nwaogwugwu, PA-C

Individual provider Medical Physician Assistant · NPI 1063984938

Chidimma Nwaogwugwu, PA-C is a Physician Assistant in Newark, New Jersey. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2018, 8 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
8
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

617 Broad St
Newark, NJ 07102-4403
Phone: (862) 246-7940
Fax: (862) 246-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00619400 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 022953 (NY)

Record details

NPI number1063984938
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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