Individual provider Active NPI

Nkechi Victoria Osuji, REGISTERED NURSE

  • Community Health Registered Nurse
  • Rosedale, NY
National Provider Identifier
1104592781
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
552026 Issued in NY
Practice address
25962 148TH Rd
Rosedale, NY 11422-2904
Phone
(516) 395-9882
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 552026 NY Primary

Addresses

Primary practice location

25962 148TH Rd
Rosedale, NY 11422-2904

Mailing address

25962 148TH Rd
Rosedale, NY 11422-2904
Phone (516) 395-9882

Other identifiers 2

IdentifierTypeStateIssuer
10835573OtherNCSBN
10835573OtherNONE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
552026NYMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1104592781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25962 148TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222904",
            "telephone_number": "516-395-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25962 148TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222904",
            "telephone_number": "516-395-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUJI",
        "first_name": "NKECHI",
        "middle_name": "VICTORIA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "552026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSBN",
            "identifier": "10835573",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "10835573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.