Individual provider Active NPI

Onyinye Amakom

  • Home Health Registered Nurse
  • Woodridge, NY
National Provider Identifier
1184027294
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
676318-1 Issued in NY
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

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
676318-1NYMDRehabilitation 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.

Verify at the official NPI Registry.