Nnaemeka Justin Anyanwu, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New York, NY
NPI 1104755800 · NPPES record last updated May 18, 2026
Key facts
- NPI
- 1104755800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 550 1St Ave
New York, NY 10016-6402 - Phone
- (212) 263-5506
- NPI assigned
- May 18, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016-6402
Mailing address
1471 Pinewood Dr
Corona, CA 92881-0716
Phone (951) 415-1825
Other providers in New York, NY
- Zafar Anwar
- Sandra Anwiset
- Anya, LLC
- Kwame Anyane-Yeboa
- Anelechi Chinedu Anyanwu
- Ugochi Lovina Anyanwu
- Henry Anyimadu
- Anyma Transit Inc
- Isao Anzai
- Nicole Anzai
All providers in New York, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.