Godwin Okpomo Sr., NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401152-1 Issued in NY

Practice address

2962 Wickham Ave
Bronx, NY 10469-3324

Phone

(646) 384-0252

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kingsley Nwokeji Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Bedford Stuyvesant Family Health Center IncGroup PAC ID 0143361238, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFDFAA

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.

• Bedford Stuyvesant Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1033178561
  Medicare reassignment Care Compare group NPD
• Rimisac Family Health NP PC

  • Contractor
  • Jamaica, NY
  • NPI 1083020242
  Medicare reassignment NPD
• University Settlement Society of New York

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1346232345
  Medicare reassignment NPD
• Victory NP in Psychiatry, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1093178428
  NPD (past) Authorized official
• Bedford Stuyvesant Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1528836590
  NPD
• Rimisac Family Health NP PC

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1881212645
  NPD

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1043696750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 WICKHAM AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693324",
            "telephone_number": "646-384-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 WICKHAM AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693324",
            "telephone_number": "646-384-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPOMO",
        "first_name": "GODWIN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401152-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINGSLEY",
            "last_name": "NWOKEJI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Celestina Okpala
• Amalachukwu Okpalanma
• Chika Okpalanma, MD
• Rita Okpalanma
• Sobrel Okpo
• Theresah Okrah
• Oksana Berkovich Medical PC
• Maja H Oktay, MD,PH.D
• Fnu Oktrian, MD
• Ngozi B. Oku, RN

• Psychiatric/Mental Health Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.