Individual provider Active NPI

Ochuko Iboyitie

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1154014017
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PL20973 Issued in NY
Practice address
1811 Hone Ave
Bronx, NY 10461-1406
Phone
(917) 362-7542
NPI assigned
May 29, 2023
Last updated
May 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PL20973 NY Primary

Addresses

Primary practice location

1811 Hone Ave
Bronx, NY 10461-1406

Mailing address

38 W 7TH St
Deer Park, NY 11729-4115
Phone (347) 801-3740

Other practice location 1

1000 Pelham Pkwy S
Bronx, NY 10461-1003
Phone (917) 362-7542

Other practice location 2

1 Greenwich St
Hempstead, NY 11550-5624
Phone (516) 565-4800

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
I20230717002471 NY Practitioner - Internal Medicine 2668832031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LWH Medical PCGroup PAC ID 0941455976, 10 clinicians

Practice addresses (Care Compare)

1811 Hone Ave
Bronx, NY 10461-1406
Phone (516) 499-9016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PL20973NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lwhmedical PC CurrentSince Jun 23, 2023 Accepting new patients

Locations

1000 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 409-0400

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1154014017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W 7TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294115",
            "telephone_number": "347-801-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611406",
            "telephone_number": "917-362-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611003",
            "country_code": "US",
            "telephone_number": "917-362-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Greenwich St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115505624",
            "country_code": "US",
            "telephone_number": "516-565-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBOYITIE",
        "first_name": "OCHUKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "PL20973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.