Individual provider Active NPI

Obioma Onah

  • Adult Health Nurse Practitioner
  • Springfield Gardens, NY
National Provider Identifier
1013363951
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310779 Issued in NY
Practice address
21726 138TH Rd
Springfield Gardens, NY 11413-2608
Phone
(718) 772-7951
Fax
(718) 808-0043
NPI assigned
May 10, 2016
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310779 NY Primary

Addresses

Primary practice location

21726 138TH Rd
Springfield Gardens, NY 11413-2608

Mailing address

21726 138TH Rd
Springfield Gardens, NY 11413-2608
Phone (718) 772-7951

Other identifiers 1

IdentifierTypeStateIssuer
713291MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115002448 NY Practitioner - Nurse Practitioner 6608244181 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310779NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Sep 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 1, 2022 Accepting new patients
Mylaurel Medical Group Ny, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Vital Care Wellness NP in Adult Health PLLC Adult Health CurrentSince Dec 7, 2025 Accepting new patients
Integrated Wound Care New York Medical PLLC CurrentSince Jan 19, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 1, 2022 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

22805 Merrick Blvd
Laurelton, NY 11413

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: obioma.onah.3@25238.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1013363951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21726 138TH RD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132608",
            "telephone_number": "718-772-7951",
            "fax_number": "718-808-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21726 138TH RD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132608",
            "telephone_number": "718-772-7951",
            "fax_number": "718-808-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAH",
        "first_name": "OBIOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

Verify at the official NPI Registry.