Individual provider Active NPI

Veronica Ngozi Ogula, PMHNP/BC. DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Islip, NY
National Provider Identifier
1215999040
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400956 Issued in NY
Practice address
107 W Main St
East Islip, NY 11730-2337
Phone
(917) 825-8463
Fax
(516) 706-4908
NPI assigned
Apr 5, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400956 NY Primary

Addresses

Primary practice location

107 W Main St
East Islip, NY 11730-2337

Mailing address

76 Ash Street
Valley Stream, NY 11580
Phone (516) 812-7849

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
I20100922000000 NY Practitioner - Nurse Practitioner 8729104245 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
400956NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Magnetic Resonance Imaging Associates PC CurrentSince Jan 1, 2020 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 14, 2019 Accepting new patients
CS Medical Associates, P.C. CurrentSince Aug 15, 2022 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 14, 2019 Accepting new patients
CS Medical Associates, P.C. CurrentSince Aug 15, 2022 Accepting new patients

Locations

81 Louden Ave
Amityville, NY 11701
Phone (631) 789-5758

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000

3364 Nostrand Ave
Brooklyn, NY 11229
Phone (347) 570-5348

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

250 Fulton Ave
Ste 607
Hempstead, NY 11550

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

5100 Sunrise Hwy
Fl 2
Massapequa Park, NY 11762
Phone (516) 548-3495

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1215999040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ASH STREET",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-812-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302337",
            "telephone_number": "917-825-8463",
            "fax_number": "516-706-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGULA",
        "first_name": "VERONICA",
        "middle_name": "NGOZI",
        "credential": "PMHNP/BC. DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.