Individual provider Active NPI

Ejike Onuogu, MD

  • Psychiatry Physician
  • Amityville, NY
National Provider Identifier
1134195753
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
218742 Issued in NY
Practice address
366 Broadway
Brunswick Hospital Center, Inc
Amityville, NY 11701-2711
Phone
(631) 759-0161
NPI assigned
Feb 24, 2006
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 218742 NY Primary

Addresses

Primary practice location

366 Broadway
Brunswick Hospital Center, Inc
Amityville, NY 11701-2711

Mailing address

2 Herter Place
Dix Hills, NY 11746-0000
Phone (631) 759-0161

Other practice location 1

1276 Fulton Ave
Bronx, NY 10456-3467
Phone (718) 992-7669

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000361 NY Practitioner - Psychiatry 4183618176 Reassigns benefits to 2 organizations
Practice locations: Amityville, NY; Lindenhurst, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 N Wellwood Ave
Lindenhurst, NY 11757-4054
Phone (631) 991-3935

Brunswick Hospital Ctr
366 Broadway
Amityville, NY 11701-2711
Phone (646) 427-0974

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Magnetic Resonance Imaging Associates PC CurrentSince Aug 13, 2016 Accepting new patients
Bronxcare Health System Psychiatry CurrentSince May 1, 2025 Accepting new patients
Bronxcare Health System CurrentSince May 1, 2025 Accepting new patients

Locations

81 Louden Ave
Amityville, NY 11701
Phone (631) 789-5758

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1134195753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HERTER PLACE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117460000",
            "telephone_number": "631-759-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 BROADWAY",
            "address_2": "BRUNSWICK HOSPITAL CENTER, INC",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012711",
            "telephone_number": "631-759-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563467",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONUOGU",
        "first_name": "EJIKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.