Augustine Umeozor, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

218585 Issued in NY

Practice address

5314 Church Ave
Brooklyn, NY 11203-3609

Phone

(718) 240-9031

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooklyn United Methodist Church Home Nursing home, Brooklyn, NY, CCN 335604

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: aumeozor1056737@nychhc.direct-ci.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.

• Divine Medical LLC

  • Primary Care Clinic/Center
  • Rosedale, NY
  • NPI 1952920795
  Medicare reassignment NPD Authorized official
• Augustine Uche Medical PLLC

  • Medical Specialty Clinic/Center
  • Rosedale, NY
  • NPI 1891642609
  NPD Authorized official
• Brooklyn United Methodist Church Home

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1164536660
  NPD (past)
• CMC Housestaff

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1063572212
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brooklyn United Methodist Church Home

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1164536660

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326069428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13163 233RD ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033609",
            "telephone_number": "718-240-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEOZOR",
        "first_name": "AUGUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Umbrella Diagnostic, Inc
• Chidobe Umeasor
• Chidinma Diana Umeh
• Janet Umenta, MD
• Umezuruike Moses Umenta
• Nisha Umesh
• Edward Umheiser, DPT
• Chaya Mushka Uminer, RN
• Ummat Pharmacy Inc
• Millen Umoh, M.A., LMFT

• 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.