Individual provider Active NPI

Godson Ihuoma Enyia

  • Psychiatric/Mental Health Registered Nurse
  • Yonkers, NY
National Provider Identifier
1326324179
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
484071 Issued in NY
Practice address
#2 Park Ave
Yonkers Service Center
Yonkers, NY 10703
Phone
(914) 969-0543
Fax
(914) 969-3643
NPI assigned
Oct 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 484071 NY Primary

Addresses

Primary practice location

#2 Park Ave
Yonkers Service Center
Yonkers, NY 10703

Mailing address

#2 Park Ave
Yonkers Service Center
Yonkers, NY 10703
Phone (914) 969-0543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
484071NYMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1326324179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#2 PARK AVE",
            "address_2": "YONKERS SERVICE CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-969-0543",
            "fax_number": "914-969-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2 PARK AVE",
            "address_2": "YONKERS SERVICE CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-969-0543",
            "fax_number": "914-969-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYIA",
        "first_name": "GODSON",
        "middle_name": "IHUOMA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "484071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.