Individual provider Active NPI

Stella Obiageli Ukadike

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1114561214
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
283058 Issued in NY
Practice address
1420 Waters PL
Bronx, NY 10461-2719
Phone
(929) 348-3998
Fax
(929) 348-3945
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 283058 NY Primary

Addresses

Primary practice location

1420 Waters PL
Bronx, NY 10461-2719

Mailing address

1420 Waters PL
Bronx, NY 10461-2719
Phone (929) 348-3998

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

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1114561214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612719",
            "telephone_number": "929-348-3998",
            "fax_number": "929-348-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612719",
            "telephone_number": "929-348-3998",
            "fax_number": "929-348-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKADIKE",
        "first_name": "STELLA",
        "middle_name": "OBIAGELI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "283058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.