Ededet Akpan Udo, MD, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

202225 Issued in NY

Legal business name

EDEDET AKPAN UDO, MD, PC

Practice address

2601 Fredrick Douglass Blvd
New York, NY 10030

Phone

(212) 234-3433

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Ededet Akpan Udo, MDNPI 1457466864

Title

President

Phone

(914) 375-2226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ededet Akpan Udo, MD

  • Specialist
  • New York, NY
  • NPI 1457466864
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1073726907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SHONNARD PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032411",
            "telephone_number": "914-375-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FREDRICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10030",
            "telephone_number": "212-234-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEDET AKPAN UDO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "UDO",
        "authorized_official_first_name": "EDEDET",
        "authorized_official_middle_name": "AKPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-375-2226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "202225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Eddy, PHD
• Lauren Elizabeth Eddy, MSN, RN, AGNP-C
• Rachel Tucker Eddy, MD
• Renee Eddy, LCSW
• Adaora Ede
• Kunaal Sachin Edekar
• Norma Edelbaum, CSW
• Jay Edelberg, MD
• Beth Edelblute
• Jesse Scott Edell-Berlin, LP

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.