Active NPI
Chinello Egwuonwu, RN, CCM, NP
- Family Nurse Practitioner
- East Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F348855-01
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR17760800 | NJ | MD | Registered Nurse |
| 557450-01 | NY | MD | Registered Nurse |
| 4206962 | NJ | MD | Case Management Registered Nurse |
| 26NJ15016100 | NJ | MD | Family Nurse Practitioner |
| F348855-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Medical Practice P.C. | Multi-Specialty | Current | Accepting new patients |
| Essen Medical Associates, PC | Multi-Specialty | Current | Accepting new patients |
| Essen Medical Associates, PC | Multi-Specialty | Current | Accepting new patients |
| Essen Medical Urgicare, PLLC | Multi-Specialty | Current | Accepting new patients |
| House Call Medical Services of New York, PLLC | Multi-Specialty | Current | Accepting new patients |
| Brookview Medical Associates, PLLC | Multi-Specialty | Current | 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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
Multi-Specialty
-
dba Metro Urgicare
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
Multi-Specialty
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.