Individual provider Active NPI

Dominic Emeka Onyema, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1063692168
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
190077 Issued in NY
Practice address
20 E 46TH St
9TH Floor
New York, NY 10017-2417
Phone
(646) 490-5475
Fax
(646) 559-4673
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 190077 NY Primary

Addresses

Primary practice location

20 E 46TH St
9TH Floor
New York, NY 10017-2417

Mailing address

401 E 34TH St
Suite South 34C
New York, NY 10016-4914
Phone (212) 686-5782

Other identifiers 2

IdentifierTypeStateIssuer
085AS2OtherNYEMPIRE BLUE CROSS/BLUE SH
01624244MedicaidNY

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Medical Associates PC Nephrology Past Accepting new patients
Healthwise Medical Associates, PC Nephrology Past Accepting new patients
Medical Network Services PC Past Accepting new patients
Healthwise Medical Associates, PC Nephrology Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1063692168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 34TH ST",
            "address_2": "SUITE SOUTH 34C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164914",
            "telephone_number": "212-686-5782",
            "fax_number": "212-532-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172417",
            "telephone_number": "646-490-5475",
            "fax_number": "646-559-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEMA",
        "first_name": "DOMINIC",
        "middle_name": "EMEKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "190077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS/BLUE SH",
            "identifier": "085AS2",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624244",
            "state": "NY"
        }
    ],
    "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 Nov 10, 2014; 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.