Individual provider Active NPI

Chinello Egwuonwu, RN, CCM, NP

  • Family Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1306619259
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348855-01 Issued in NY
Practice address
515 Norwood St Unit 2
East Orange, NJ 07018-1035
Phone
(510) 712-9554
NPI assigned
Nov 2, 2023
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15016100 NJ
Family Nurse Practitioner 363LF0000X F348855-01 NY Primary
Registered Nurse 163W00000X 557450-01 NY
Registered Nurse 163W00000X 26NR17760800 NJ
Case Management Registered Nurse 163WC0400X 4206962 NJ

Addresses

Primary practice location

515 Norwood St Unit 2
East Orange, NJ 07018-1035

Mailing address

515 Norwood St Unit 2
East Orange, NJ 07018-1035
Phone (510) 712-9554

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
I20240711002471 NY Practitioner - Nurse Practitioner 0042755209 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR17760800NJMDRegistered Nurse
557450-01NYMDRegistered Nurse
4206962NJMDCase Management Registered Nurse
26NJ15016100NJMDFamily Nurse Practitioner
F348855-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. Multi-Specialty CurrentSince Jul 29, 2024 Accepting new patients
Essen Medical Associates, PC Multi-Specialty CurrentSince Jul 29, 2024 Accepting new patients
Essen Medical Associates, PC Multi-Specialty CurrentSince Jul 29, 2024 Accepting new patients
Essen Medical Urgicare, PLLC Multi-Specialty CurrentSince Jul 29, 2024 Accepting new patients
House Call Medical Services of New York, PLLC Multi-Specialty CurrentSince Jul 29, 2024 Accepting new patients
Brookview Medical Associates, PLLC Multi-Specialty CurrentSince Apr 29, 2024 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1306619259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NORWOOD ST UNIT 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181035",
            "telephone_number": "510-712-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NORWOOD ST UNIT 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181035",
            "telephone_number": "510-712-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGWUONWU",
        "first_name": "CHINELLO",
        "credential": "RN, CCM, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15016100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348855-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "557450-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR17760800",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NJ",
            "license": "4206962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.