Active NPI
Kenechi Gabriel Ejebe, M.D.
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1194067132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1 Gustave L Levy PL
Box 1230
New York, NY 10029-6500 - Phone
- (202) 841-7083
- NPI assigned
- Mar 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
Box 1230
New York, NY 10029-6500
Mailing address
1 Gustave L Levy PL
Box 1230
New York, NY 10029-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363392000000",
"number": "1194067132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "BOX 1230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "BOX 1230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "202-841-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJEBE",
"first_name": "KENECHI",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-16",
"last_updated": "2013-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Samuel Paul Eitenbichler, MD
- Erick Allen Eiting, MD
- Ej Management Ny LLC (Caleyo Wellness)
- Maha Ejaz, MBCHB
- Ejc Mental Health Counseling PLLC (Creative Resilience Mental Health Counseling)
- Adaoma Ejimbe, PMHNP
- Ejwk Medical Services P.C. (mybox.health)
- Ek Mental Health Counseling PLLC
- Ek Therapy LCSW, PLLC
- Eugene Teow Hin Ek, MBBS, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.