Geoffrey Achonu, M.D.
Individual provider Active NPI Pediatrics Physician · Brooklyn, NY
NPI 1083710396 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1083710396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 238548 (NY)
- Practice address
- 1162 Eastern Pkwy
Brooklyn, NY 11213-4108 - Phone
- (718) 221-0333
- Fax
- (718) 221-1087
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120130000531 | NY | Practitioner - Pediatric Medicine | 7214194588 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238548 | NY | MD | Pediatrics Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current |
Accepting new patients | |
| Jamaica Hospital | Current |
Accepting new patients | |
| Wyckoff Emergency Medicine Services, P.C. | Current |
Accepting new patients |
Locations
374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEIHBA/Endpoint/IEIHBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 238548 | NY | Yes |
Addresses
Primary practice location
1162 Eastern Pkwy
Brooklyn, NY 11213-4108
Mailing address
787 Adams St
Baldwin, NY 11510-4302
Phone (718) 758-4065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02269203 | Medicaid | NY |
Other providers in Brooklyn, NY
- Achilles Tots Corp
- Khurshida Achilova
- Ifeyinwa Acholonu
- Kelechi Acholonu
- Danielle Achong
- Eleonora Achrak
- Supraja Achuthanandan
- Amitwong Acin
- Daniella Acker
- Jessica Sarah Acker
All providers in Brooklyn, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.