Individual provider Active NPI

Chinyere Onunaku, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1114467958
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341085 Issued in NY
Practice address
1 Penn PLZ FL 8
New York, NY 10119-0899
Phone
(347) 480-0510
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341085 NY Primary

Addresses

Primary practice location

1 Penn PLZ FL 8
New York, NY 10119-0899

Mailing address

1376 E 105TH St
Brooklyn, NY 11236-4606

Other practice location 1

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Other practice location 2

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Other identifiers 1

IdentifierTypeStateIssuer
1114467958MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805003131 NY Practitioner - Nurse Practitioner 9234405069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Bedford Stuyvesant Family Health Center IncGroup PAC ID 0143361238, 31 clinicians

Practice addresses (Care Compare)

1456 Fulton St
Brooklyn, NY 11216-2505
Phone (718) 636-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F341085NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Stuyvesant Family Health Center, Inc. CurrentSince Jun 21, 2021 Accepting new patients
Bedford Stuyvesant Family Health Center, Inc. CurrentSince Jun 21, 2021 Accepting new patients

Locations

1413 Fulton St
#0
Brooklyn, NY 11216

1456 Fulton St
Brooklyn, NY 11216
Phone (718) 636-4500

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

1456 Fulton St
Fl 3
Brooklyn, NY 11216

1238 Broadway
Brooklyn, NY 11221
Phone (718) 443-2428

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDFAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114467958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 E 105TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190899",
            "telephone_number": "347-480-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONUNAKU",
        "first_name": "CHINYERE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114467958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.