Victory Medical Clinic LLC
NPI 1013367465ActiveOrganization· Internal Medicine· Hackettstown, NJ
Internal Medicine in Hackettstown, New Jersey, registered in NPPES in June 2016. The authorized official on file is Augustine Okpala, MD, Healthcare Professional. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013367465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2016 |
| Last updated in NPPES | Jun 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA08035200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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