KENNETH MADUEKE – Family Nurse Practitioner, NPI 1083155808

KENNETH MADUEKE is a healthcare provider. based in Woodbridge, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ00713300 (NJ). The NPI Number for KENNETH MADUEKE is 1083155808

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH MADUEKE
NPI
1083155808
Phone
(862) 235-8270
Address
404 KINGS CT
Enumeration Date
13 March 2017
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737898111
Graduation Year
2020 (6 years ago)
PAC ID
5193085025
Group Practice PAC ID
7214237916
Professional Enrollment ID
I20180214000106
Address ID
NJ071051815NE228XXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for KENNETH MADUEKE

  • 404, Kings Court, Barron's Gate, Edgar, Woodbridge, Woodbridge Township, Middlesex County, New Jersey, 07095, United States

    WOODBRIDGE, NJ 070953860

    Phone: (862) 235-8270

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).

Total Amount

$160

General + Research + Ownership

Payments

3

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180214000106INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214237916View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Physician AssistantNY
Registered Dietitian Or Nutrition ProfessionalNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I cross-check KENNETH MADUEKE using NPI 1083155808?
NPI 1083155808 belongs to KENNETH MADUEKE; compare other details if you need extra assurance.
Is there an active status for KENNETH MADUEKE?
For scheduling context, KENNETH MADUEKE is shown as active in the registry.
What area of care is associated with KENNETH MADUEKE?
KENNETH MADUEKE's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KENNETH MADUEKE?
Travel planning: use Woodbridge, New Jersey as the reference point for KENNETH MADUEKE, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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