Active NPI
Izehi Agenmonmen Eromosele, NP
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 341154
- Practice address
- 539 Vandalia Ave
Brooklyn, NY 11239-2810 - Phone
- (718) 642-3213
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405807 | NY | |
| Family Nurse Practitioner | 363LF0000X | 341154-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | 341154 | NY | Primary |
| Registered Nurse | 163W00000X | 580957 | NY |
Addresses
Primary practice location
539 Vandalia Ave
Brooklyn, NY 11239-2810
Mailing address
539 Vandalia Ave
Brooklyn, NY 11239-2853
Phone (646) 287-0094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OR, AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580957 | NY | MD | Registered Nurse |
| 341154-01 | NY | MD | Family Nurse Practitioner |
| 405807 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Perfect Mind Care Psychiatry and Family Health PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Orenda Psychiatry PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
50 Water St
Fl 3
New York, NY 10004
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
522 W Riverside Ave
#8445
Spokane, WA 99201
Phone (718) 642-3213
Interoperability endpoints
- izehi.eromosele.1@24989.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, NM, NY, OR, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
- NPI 1538994678
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1184632945
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1528663945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1003124660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 VANDALIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112392853",
"telephone_number": "646-287-0094",
"fax_number": "800-707-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 VANDALIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112392810",
"telephone_number": "718-642-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EROMOSELE",
"first_name": "IZEHI",
"middle_name": "AGENMONMEN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "405807",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "341154-01",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "341154",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "580957",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.