Individual provider Active NPI

Onuorah Chinedu Ibeabuchi, M.D

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1023161056
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60188 Issued in NJ
Practice address
545 E 142ND St
Bronx, NY 10454-2110
Phone
(718) 579-1824
NPI assigned
Jan 21, 2007
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 60188 NJ Primary

Addresses

Primary practice location

545 E 142ND St
Bronx, NY 10454-2110

Mailing address

30 Homestead PL
Bergenfield, NJ 07621-2816
Phone (201) 244-9110

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000045 NY Practitioner - Internal MedicinePractitioner - General Practice 6709821879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

545 E 142ND St
Bronx, NY 10454-2110
Phone (718) 579-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60188NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients

Locations

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-3090

545 E 142nd St
Rm 278
Bronx, NY 10454
Phone (718) 579-1788

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

Networks

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

Interoperability endpoints

  • Direct secure messaging: oibeabuchi836065@nychhc.direct-ci.com

Organizations & group practices 4

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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1023161056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HOMESTEAD PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212816",
            "telephone_number": "201-244-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E 142ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542110",
            "telephone_number": "718-579-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEABUCHI",
        "first_name": "ONUORAH",
        "middle_name": "CHINEDU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "60188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.