Active NPI
Ignatius A Gbaduo, RN, MSN, FNP-BC
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1225306509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337009
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 337009 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Medical Consulting PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.