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

Ikechukwu Okereke

Individual provider Internal Medicine Physician · NPI 1639797418

Ikechukwu Okereke is an Internal Medicine in Montclair, New Jersey. Qualified in 2008, 18 years ago. Practices with Community Primary Care PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Bay Ave
Montclair, NJ 07042-2033
Phone: (973) 429-6000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P105709 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 105709-01 (NY)

Record details

NPI number1639797418
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESJune 25, 2023
Certification dateJune 25, 2023
Mailing address529 Beach 20th St, Far Rockaway, NY 11691-3615

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Community Primary Care Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montclair