Individual provider Active NPI

Reagan Obiozor Anusionwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1346492105
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401556 Issued in NY
Practice address
548 Throggs Neck Expy
Suite 4
Bronx, NY 10465-1717
Phone
(917) 557-6064
Fax
(347) 287-6916
NPI assigned
Oct 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 Nurse Practitioner 363LP0808X 401556 NY Primary

Addresses

Primary practice location

548 Throggs Neck Expy
Suite 4
Bronx, NY 10465-1717

Mailing address

548 Throggs Neck Expy
Suite 4
Bronx, NY 10465-1717
Phone (917) 557-6064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140121000031 NY Practitioner - Nurse Practitioner 7012145055 Reassigns benefits to 3 organizations
I20240118001256 NJ Practitioner - Nurse Practitioner 7012145055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reagan Obiozor Anusionwu NP Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Vocational Instruction Project Community Services, Inc. CurrentSince Jun 16, 2018 Accepting new patients
Ra Psychiatric NP Services PLLC CurrentSince Jan 21, 2021 Accepting new patients
Vocational Instruction Project Community Services Inc CurrentSince Jun 16, 2018 Accepting new patients
Vocational Instruction Project Community Services Inc Past Accepting new patients

Locations

89 Market St
Ste 2M
Newark, NJ 07102
Phone (800) 632-7969

89 Market St
Ste 2
Newark, NJ 07102
Phone (800) 632-7969

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

548 Throggs Neck Expy
Bronx, NY 10465
Phone (800) 632-7969

548 Throggs Neck Expy
Ste 4
Bronx, NY 10465
Phone (201) 281-7122

770 E 176th St
Fl 3
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

340 Trinity St
Malverne, NY 11565
Phone (347) 627-6100

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1346492105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 THROGGS NECK EXPY",
            "address_2": "SUITE 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651717",
            "telephone_number": "917-557-6064",
            "fax_number": "347-287-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 THROGGS NECK EXPY",
            "address_2": "SUITE 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651717",
            "telephone_number": "917-557-6064",
            "fax_number": "347-287-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUSIONWU",
        "first_name": "REAGAN",
        "middle_name": "OBIOZOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.