NPIMap

Individual provider Active NPI

Obiora Olisaeloka Anyoku, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1225093180
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210948 Issued in NY
Practice address
20-08 Seagirt Blvd
Alfamed Physician PC
Far Rockaway, NY 11691
Phone
(718) 868-4553
Fax
(718) 868-4831
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210948 NY Primary

Addresses

Primary practice location

20-08 Seagirt Blvd
Alfamed Physician PC
Far Rockaway, NY 11691

Mailing address

19 Steele Hill Rd
Old Westbury, NY 11568
Phone (516) 334-8933

Other identifiers 1

IdentifierTypeStateIssuer
01952065MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oanyoku150167@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001166 NY Practitioner - Internal Medicine 4789677394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
South Beach Medical PC Internal Medicine Past Accepting new patients
Alfamed Physician PC Internal Medicine Past Accepting new patients
Sunshine Care Corp Past Accepting new patients

Locations

2008 Seagirt Blvd
Far Rockaway, NY 11691
Phone (718) 868-4553

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

22802 Merrick Blvd
Fl 1
Laurelton, NY 11413
Phone (646) 501-4950

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1225093180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STEELE HILL RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "11568",
            "telephone_number": "516-334-8933",
            "fax_number": "516-334-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-08 SEAGIRT BLVD",
            "address_2": "ALFAMED PHYSICIAN PC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-868-4553",
            "fax_number": "718-868-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYOKU",
        "first_name": "OBIORA",
        "middle_name": "OLISAELOKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01952065",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oanyoku150167@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "22414 Merrick Blvd",
            "city": "Laurelton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.