Individual provider Active NPI

Chinwe F Okonkwo, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1023038890
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200457 Issued in NY
Practice address
887 Rutland Rd
Brooklyn, NY 11203-1911
Phone
(718) 756-3918
Fax
(347) 715-7135
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200457 NY Primary

Addresses

Primary practice location

887 Rutland Rd
Brooklyn, NY 11203-1911

Mailing address

3 Norman CT
Dix Hills, NY 11746-5811
Phone (631) 423-2397

Other identifiers 1

IdentifierTypeStateIssuer
01623665MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200457NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Medical Plaza Internal Medicine Past Accepting new patients
Obiakor Medical Practice PLLC Past Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1023038890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NORMAN CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465811",
            "telephone_number": "631-423-2397",
            "fax_number": "631-643-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 RUTLAND RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031911",
            "telephone_number": "718-756-3918",
            "fax_number": "347-715-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "CHINWE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623665",
            "state": "NY"
        }
    ],
    "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 Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.