Individual provider Active NPI

Damiete Patrick Ipalibo Wokoma, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1174427363
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F360939 Issued in NY
Practice address
60 W 129TH St
New York, NY 10027-2292
Phone
(646) 956-9475
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F360939 NY Primary

Addresses

Primary practice location

60 W 129TH St
New York, NY 10027-2292

Mailing address

60 W 129TH St Apt 406
New York, NY 10027-2295
Phone (646) 956-9475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1174427363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 129TH ST APT 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272295",
            "telephone_number": "646-956-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W 129TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272292",
            "telephone_number": "646-956-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPALIBO WOKOMA",
        "first_name": "DAMIETE PATRICK",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F360939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.