Individual provider Active NPI

Osarugue Blessing Erhunmwunsee, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1184942294
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402776 Issued in NY
Practice address
243 Bristol St
Brooklyn, NY 11212-5540
Phone
(347) 701-1453
Fax
(347) 627-3251
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 546060 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402776 NY Primary

Addresses

Primary practice location

243 Bristol St
Brooklyn, NY 11212-5540

Mailing address

243 Bristol St
Brooklyn, NY 11212-5540
Phone (347) 701-1453

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000476 NY Practitioner - Nurse Practitioner 6901202415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
546060NYMDRegistered Nurse
402776NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Health Care NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Apr 3, 2024 Accepting new patients
Medical Healthcare Services P.C. CurrentSince Aug 13, 2021 Accepting new patients

Locations

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

Organizations & group practices 2

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1184942294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BRISTOL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125540",
            "telephone_number": "347-701-1453",
            "fax_number": "347-627-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BRISTOL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125540",
            "telephone_number": "347-701-1453",
            "fax_number": "347-627-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERHUNMWUNSEE",
        "first_name": "OSARUGUE",
        "middle_name": "BLESSING",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-04-18",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "546060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.