Active NPI
Ebubechukwu Oluchi Nwigwe, M.D.
- Anesthesiology Physician
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 248043-1
- Practice address
- 707 E Main St
Middletown, NY 10940-2650 - Phone
- (845) 333-1000
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 248043-1 | NY | Primary |
Addresses
Primary practice location
707 E Main St
Middletown, NY 10940-2650
Mailing address
3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090626000245 | NY | Practitioner - Anesthesiology | 8921159229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248043-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Maimonides Department of Psychiatry FPP | Past | Accepting new patients | |
| North American Partners in Anesthesia (Virginia), LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Associates of Boro Park, LLP | Anesthesiology | Past | Accepting new patients |
Locations
10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
75 Crystal Run Rd
Ste 225
Middletown, NY 10941
Phone (845) 692-0800
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
Organizations & group practices 4
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.
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- NPI 1649264706
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- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1093949281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 E MAIN ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402650",
"telephone_number": "845-333-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWIGWE",
"first_name": "EBUBECHUKWU",
"middle_name": "OLUCHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "248043-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.