Nike Itohan Kubeyinje, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

55255 Issued in CT

Practice address

785 Farmington Avenue
West Hartford, CT 06119-1673

Phone

(860) 523-4100

Fax

(860) 523-1462

NPI assigned

Oct 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nike.kubeyinje.p1@direct.wheelerclinic.nextgenshare.com

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.

• West Hartford Pediatrics, LLC

  • Pediatrics Physician
  • West Hartford, CT
  • NPI 1184622755
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1295922276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 FARMINGTON AVENUE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191673",
            "telephone_number": "860-523-4100",
            "fax_number": "860-523-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 FARMINGTON AVENUE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191673",
            "telephone_number": "860-523-4100",
            "fax_number": "860-523-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBEYINJE",
        "first_name": "NIKE",
        "middle_name": "ITOHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD036800",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "272823",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME108550",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "55255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003200300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina J. Chomick, LMFT - Therapy, Supervision and Consulting SVCS
• Sondra Kronick, LMFT,LADC
• Pavel Krubitski
• Julia Krulee
• Peggy Ku, D.O.
• Lisa C Kugelman, MD
• Michelle Kuhl
• Danielle Kuhlman
• Shannon Quinn Kulak, LCSW
• Lisa A. Kuntz, ED.D.

• Pediatrics Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.