Individual provider Active NPI

Nonyelu Iruoma Anyichie, M.D.

  • Obstetrics & Gynecology Physician
  • Mount Vernon, NY
National Provider Identifier
1326129339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
222949 Issued in NY
Practice address
105 Stevens Ave Ste 209
Mount Vernon, NY 10550-2682
Phone
(914) 699-7700
Fax
(888) 422-9813
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 222949 NY Primary

Addresses

Primary practice location

105 Stevens Ave Ste 209
Mount Vernon, NY 10550-2682

Mailing address

Westside New York Medical PC
PO Box 45
New York, NY 10034-0045
Phone (908) 531-9900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000007 NY Practitioner - Obstetrics/Gynecology 1557443538 Practice locations: Mount Vernon, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Stevens Ave
Suite 209
Mount Vernon, NY 10550-2682
Phone (914) 699-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients
Comprehensive Primary Care Services PC PastSince Jul 29, 2003 Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Evoke Medical Care LLC PastSince May 25, 2018 Accepting new patients
Doony Inc PastSince Aug 1, 2015 Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients
Comprehensive Primary Care Services PC Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: nanyichie1290064@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDEADA/Endpoint/DDEADA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326129339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTSIDE NEW YORK MEDICAL PC",
            "address_2": "PO BOX 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100340045",
            "telephone_number": "908-531-9900",
            "fax_number": "888-422-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 209",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502682",
            "telephone_number": "914-699-7700",
            "fax_number": "888-422-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYICHIE",
        "first_name": "NONYELU",
        "middle_name": "IRUOMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "222949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.