Individual provider Active NPI

Avellina Ihuaku Okafor

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1073159679
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345111 Issued in NY
Practice address
1328 Ridgeway Ave
Rochester, NY 14615-3716
Phone
(585) 773-9665
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 345111 NY
Family Nurse Practitioner 363LF0000X 345111 NY Primary

Addresses

Primary practice location

1328 Ridgeway Ave
Rochester, NY 14615-3716

Mailing address

1328 Ridgeway Ave
Rochester, NY 14615-3716
Phone (585) 773-9665

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312000485 NY Practitioner - Nurse Practitioner 8820426562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony L. Jordan Health Corporation 39 clinicians

Practice addresses (Care Compare)

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony L. Jordan Health Corporation CurrentSince Sep 9, 2025 Accepting new patients
Anthony L. Jordan Health Corporation Current Accepting new patients

Locations

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

214C Lake Ave
Rochester, NY 14608

214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1073159679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146153716",
            "telephone_number": "585-773-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146153716",
            "telephone_number": "585-773-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "AVELLINA",
        "middle_name": "IHUAKU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "345111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.