Active NPI
Obianulo Rose Onyema, MD
- Pediatrics Physician
- Mt Vernon, NY
National Provider Identifier
1033217294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- NY178995
- Practice address
- 105 Stevens Ave
Suite 207
Mt Vernon, NY 10550-2686 - Phone
- (914) 665-3309
- Fax
- (914) 665-2736
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NY178995 | NY | Primary |
Addresses
Primary practice location
105 Stevens Ave
Suite 207
Mt Vernon, NY 10550-2686
Mailing address
105 Stevens Ave
Suite 207
Mt Vernon, NY 10550-2686
Phone (914) 665-3309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01197593 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NY178995 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- oro9003@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- oonyema@hiemail.healtheconnections.org
Organizations & group practices 1
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 Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361664000000",
"number": "1033217294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 STEVENS AVE",
"address_2": "SUITE 207",
"city": "MT VERNON",
"state": "NY",
"postal_code": "105502686",
"telephone_number": "914-665-3309",
"fax_number": "914-665-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 STEVENS AVE",
"address_2": "SUITE 207",
"city": "MT VERNON",
"state": "NY",
"postal_code": "105502686",
"telephone_number": "914-665-3309",
"fax_number": "914-665-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEMA",
"first_name": "OBIANULO",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "NY178995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01197593",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.