Active NPI
Vincent James Onwuemene, NP
- Primary Care Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1164044251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F309519
- Practice address
- 460 Brielle Ave
Staten Island, NY 10314-6427 - Phone
- (718) 317-3000
- Fax
- (718) 317-3207
- NPI assigned
- May 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F309519 | NY | Primary |
Addresses
Primary practice location
460 Brielle Ave
Staten Island, NY 10314-6427
Mailing address
460 Brielle Ave
Staten Island, NY 10314-6427
Phone (718) 317-3000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201009002561 | NY | Practitioner - Nurse Practitioner | 1456771534 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F309519 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients |
Locations
50 Water St
Fl 3
New York, NY 10004
Interoperability endpoints
- vonwuemene1474788@nychhc.direct-ci.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1164044251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 BRIELLE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146427",
"telephone_number": "718-317-3000",
"fax_number": "718-317-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BRIELLE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146427",
"telephone_number": "718-317-3000",
"fax_number": "718-317-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONWUEMENE",
"first_name": "VINCENT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F309519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.