Active NPI
Nneamaka Obiozor Emeagwali Oliver, DPM
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1013619246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 130 East 77TH Street
11 Black Hall
New York, NY 10075 - Phone
- (212) 434-3284
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
130 East 77TH Street
11 Black Hall
New York, NY 10075
Mailing address
130 East 77TH Street
11 Black Hall
New York, NY 10075
Phone (212) 434-3284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1013619246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 EAST 77TH STREET",
"address_2": "11 BLACK HALL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-434-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EAST 77TH STREET",
"address_2": "11 BLACK HALL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-434-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "NNEAMAKA",
"middle_name": "OBIOZOR EMEAGWALI",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.