Individual provider Active NPI

Ignatius A Gbaduo, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1225306509
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337009 Issued in NY
Practice address
314 W 14TH St
FL 1
New York, NY 10014-5002
Phone
(646) 638-2015
Fax
(646) 638-1842
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337009 NY Primary

Addresses

Primary practice location

314 W 14TH St
FL 1
New York, NY 10014-5002

Mailing address

320 W 30TH St
6 B
New York, NY 10001-2710
Phone (518) 577-7814

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
I20120111000076 NY Practitioner - Nurse Practitioner 8527235712 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Medical Consulting PCGroup PAC ID 1951551589, 8 clinicians

Practice addresses (Care Compare)

214 W Houston St
New York, NY 10014-4846
Phone (718) 845-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
337009NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Consulting PC CurrentSince Sep 9, 2022 Accepting new patients

Locations

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

Organizations & group practices 1

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1225306509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 30TH ST",
            "address_2": "6 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012710",
            "telephone_number": "518-577-7814",
            "fax_number": "646-638-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 14TH ST",
            "address_2": "FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145002",
            "telephone_number": "646-638-2015",
            "fax_number": "646-638-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBADUO",
        "first_name": "IGNATIUS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.