Individual provider Active NPI

Ogechukwu Ifeoma Okezie, NP

  • Adult Health Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1235715327
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309773-01 Issued in NY
Practice address
119 Salem Rd
Valley Stream, NY 11580-1109
Phone
(347) 610-2320
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309773-01 NY Primary

Addresses

Primary practice location

119 Salem Rd
Valley Stream, NY 11580-1109

Mailing address

119 Salem Rd
Valley Stream, NY 11580-1109
Phone (347) 610-2320

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
I20210421000605 NY Practitioner - Nurse Practitioner 0244648871 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F309773-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Medical Services PC CurrentSince Feb 5, 2026 Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: ogechukwu.okezie.1@24989.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1235715327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SALEM RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801109",
            "telephone_number": "347-610-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SALEM RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801109",
            "telephone_number": "347-610-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEZIE",
        "first_name": "OGECHUKWU",
        "middle_name": "IFEOMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309773-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.