North Brooklyn Wellness Medical Practice LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

212122 Issued in NY

Legal business name

NORTH BROOKLYN WELLNESS MEDICAL PRACTICE LLC

Practice address

1420 Bushwick Ave
Suite 154
Brooklyn, NY 11207-1422

Phone

(718) 455-3036

Fax

(718) 455-0999

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Azuka Anyoku, M.D.NPI 1386747681

Title

MD

Phone

(718) 455-3036

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azuka Anyoku, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1386747681
  NPD (past) Authorized official

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1316362114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BUSHWICK AVE",
            "address_2": "SUITE 154",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071422",
            "telephone_number": "718-455-3036",
            "fax_number": "718-455-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BUSHWICK AVE",
            "address_2": "SUITE 154",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071422",
            "telephone_number": "718-455-3036",
            "fax_number": "718-455-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROOKLYN WELLNESS MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "ANYOKU",
        "authorized_official_first_name": "AZUKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-455-3036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North East Empire Medical, P.C.
• North Eastern Network Ipa
• North Eastern Network, Inc,

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.