Healthcare Provider Details

I. General information

NPI: 1659692887
Provider Name (Legal Business Name): CHIBUZO U EMENARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 STRYKERS RD
PHILLIPSBURG NJ
08865
US

IV. Provider business mailing address

2830 EASTON AVE
BETHLEHEM PA
18017-4204
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-4000
  • Fax:
Mailing address:
  • Phone: 484-526-3550
  • Fax: 484-526-3693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA10385500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD465646
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: