Active NPI
Onyinye Amakom
- Home Health Registered Nurse
- Woodridge, NY
National Provider Identifier
1184027294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 676318-1
- Practice address
- 3 Edelweiss Dr
Woodridge, NY 12789-5806 - Phone
- (845) 693-4765
- Fax
- (845) 693-4765
- NPI assigned
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 676318-1 | NY | |
| Home Health Registered Nurse | 163WH0200X | 676318-1 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 676318-1 | NY | |
| Rehabilitation Registered Nurse | 163WR0400X | 676318-1 | NY | |
| Wound Care Registered Nurse | 163WW0000X | 676318-1 | NY |
Addresses
Primary practice location
3 Edelweiss Dr
Woodridge, NY 12789-5806
Mailing address
3 Edelweiss Dr
Woodridge, NY 12789-5806
Phone (845) 693-4765
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
| License | State | Type | Specialty |
|---|---|---|---|
| 676318-1 | NY | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1184027294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EDELWEISS DR",
"city": "WOODRIDGE",
"state": "NY",
"postal_code": "127895806",
"telephone_number": "845-693-4765",
"fax_number": "845-693-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 EDELWEISS DR",
"city": "WOODRIDGE",
"state": "NY",
"postal_code": "127895806",
"telephone_number": "845-693-4765",
"fax_number": "845-693-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAKOM",
"first_name": "ONYINYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "NY",
"license": "676318-1",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "676318-1",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "676318-1",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "NY",
"license": "676318-1",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NY",
"license": "676318-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.