Individual provider Active NPI

Joshua Chinedum Nwaohuocha, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1164707089
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
301682-1 Issued in NY
Practice address
2757 Seymour Ave
Apt. 1
Bronx, NY 10469-5523
Phone
(347) 945-2420
NPI assigned
Oct 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 301682-1 NY Primary

Addresses

Primary practice location

2757 Seymour Ave
Apt. 1
Bronx, NY 10469-5523

Mailing address

2757 Seymour Ave
Apt. 1
Bronx, NY 10469-5523
Phone (347) 945-2420

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

State licenses

LicenseStateTypeSpecialty
301682-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1164707089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 SEYMOUR AVE",
            "address_2": "APT. 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695523",
            "telephone_number": "347-945-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 SEYMOUR AVE",
            "address_2": "APT. 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695523",
            "telephone_number": "347-945-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOHUOCHA",
        "first_name": "JOSHUA",
        "middle_name": "CHINEDUM",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301682-1",
            "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 12, 2011; 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.