Healthcare Provider Details

I. General information

NPI: 1033059571
Provider Name (Legal Business Name): SOJI MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 STATE ST STE 101
HACKENSACK NJ
07601-5521
US

IV. Provider business mailing address

PO BOX 121
MOUNT FREEDOM NJ
07970-0121
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-7662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: CHINENYE NWACHUKU
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 570-213-1927