Individual provider Active NPI

Vivian Ugwu

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1104736867
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
356380 Issued in NY
Practice address
790 Eldert LN Apt 5S
Brooklyn, NY 11208-4736
Phone
(631) 829-9824
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 356380 NY Primary

Addresses

Primary practice location

790 Eldert LN Apt 5S
Brooklyn, NY 11208-4736

Mailing address

790 Eldert LN Apt 5S
Brooklyn, NY 11208-4736
Phone (631) 829-9824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1104736867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ELDERT LN APT 5S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084736",
            "telephone_number": "631-829-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ELDERT LN APT 5S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084736",
            "telephone_number": "631-829-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWU",
        "first_name": "VIVIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "356380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.