Active NPI
Reagan Obiozor Anusionwu NP Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
National Provider Identifier
1275905994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401556
- Legal business name
- REAGAN OBIOZOR ANUSIONWU NP PSYCHIATRY PLLC
- Practice address
- 548 Throgs Neck Expwy
Bronx, NY 10465 - Phone
- (646) 798-7924
- Fax
- (347) 287-6916
- NPI assigned
- Oct 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reagan Anusionwu
- Title
- Sole Proprietor
- Phone
- (646) 798-7924
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401556 | NY | Primary |
Addresses
Primary practice location
548 Throgs Neck Expwy
Bronx, NY 10465
Mailing address
22716 67TH Ave.
Oakland Gardens, NY 11364
Phone (646) 798-7924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
548 Throggs Neck Expy
Bronx, NY 10465
Phone (800) 632-7969
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
- NPI 1346492105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445385600000",
"number": "1275905994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22716 67TH AVE.",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "11364",
"telephone_number": "646-798-7924",
"fax_number": "347-287-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 THROGS NECK EXPWY",
"city": "BRONX",
"state": "NY",
"postal_code": "10465",
"telephone_number": "646-798-7924",
"fax_number": "347-287-6916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAGAN OBIOZOR ANUSIONWU NP PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A",
"authorized_official_last_name": "ANUSIONWU",
"authorized_official_first_name": "REAGAN",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "646-798-7924"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.