Bassey Ulo Enyenihi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F343092-1 Issued in NY

Practice address

287 Wading River Road
Suite 8
Manorville, NY 11949-1194

Phone

(631) 716-5410

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bassey.enyenihi.1@27852.direct.athenahealth.com

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.

• Molina Healthcare of New York, Inc.

  • Nurse Practitioner
  • North Syracuse, NY
  • NPI 1134622970
  Medicare reassignment NPD
• Urban Family Practice PC

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099

  Family

  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1093311409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BIRCHGROVE DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117221904",
            "telephone_number": "516-983-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 WADING RIVER ROAD",
            "address_2": "SUITE 8",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119491194",
            "telephone_number": "631-716-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYENIHI",
        "first_name": "BASSEY",
        "middle_name": "ULO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Earl, FNP-C
• East End Gastroenterology PLLC
• Eastport South Manor Central School District
• Eastport South Manor School District
• Katelyn Edwards
• Janet Marie Erario, R.N.
• Jacqueline Esp, LMSW
• Eulacare Senior Companion Agency, Inc.
• Nina Michelle Fagan
• Brittny Ann Fanning, OTR/L

• Family Nurse Practitioner in Manorville, NY
• Providers in Manorville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.