Active NPI
Ikechi Iheagwara, SC.D.
- Audiologist
- New York, NY
National Provider Identifier
1093002610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 161 Madison Avenue
11W
New York, NY 10603-1997 - Phone
- (201) 820-4110
- NPI assigned
- Jul 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
161 Madison Avenue
11W
New York, NY 10603-1997
Mailing address
161 Madison Ave
11W
New York, NY 10016-5421
Phone (212) 213-3339
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002417 | NY | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1093002610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"address_2": "11W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165421",
"telephone_number": "212-213-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MADISON AVENUE",
"address_2": "11W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "106031997",
"telephone_number": "201-820-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IHEAGWARA",
"first_name": "IKECHI",
"name_prefix": "Dr.",
"credential": "SC.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-03",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.