Active NPI
Uchechukwuka Osadebe M.D., PLLC
- General Practice Physician
- Flushing, NY
National Provider Identifier
1104436021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- UCHECHUKWUKA OSADEBE M.D., PLLC
- Practice address
- 4142 College Point Blvd Ste 2a
Flushing, NY 11355-4386 - Phone
- (646) 517-4271
- NPI assigned
- Aug 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uchechukwuka Osadebe, MD
- Title
- Owner
- Phone
- (832) 859-2054
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4142 College Point Blvd Ste 2a
Flushing, NY 11355-4386
Mailing address
3 Somerset LN Apt 412
Edgewater, NJ 07020-2422
Phone (832) 859-2054
Other practice location 1
2107 Ditmas Ave
Brooklyn, NY 11226-6903
Phone (646) 517-4271
Other names 1
- Uche Osadebe M.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Flushing, NY
- NPI 1225448996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1104436021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SOMERSET LN APT 412",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070202422",
"telephone_number": "832-859-2054",
"fax_number": "888-920-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 COLLEGE POINT BLVD STE 2A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554386",
"telephone_number": "646-517-4271"
}
],
"practiceLocations": [
{
"address_1": "2107 Ditmas Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112266903",
"country_code": "US",
"telephone_number": "646-517-4271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UCHECHUKWUKA OSADEBE M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-05",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "OSADEBE",
"authorized_official_first_name": "UCHECHUKWUKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-859-2054",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Uche Osadebe M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.