Victor Azubike Amobi, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402802 Issued in NY

Practice address

169 W 133Rd St
New York, NY 10030-3301

Phone

(646) 762-4950

Fax

(646) 762-4955

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

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.

• Vaa NP in Psychiatry PC

  • Clinic/Center
  • Hempstead, NY
  • NPI 1306702022

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Bleuler Psychotherapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1801949706

  Multi-Specialty

  Medicare reassignment NPD
• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219

  Multi-Specialty

  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776

  Multi-Specialty

  Medicare reassignment NPD
• M and M Psychiatric Nurse Practitioner Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1336856467

  Multi-Specialty

  Medicare reassignment NPD
• Timely Psychiatry and Family Health NP Practice

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hempstead, NY
  • NPI 1659090603

  Multi-Specialty

  Medicare reassignment NPD
• United Cerebral Palsy of New York City Inc

  • Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1730302019

  Multi-Specialty

  Medicare reassignment NPD
• Upper Room AIDS Ministry, Inc. Adult Day Health Care Center.

  • Clinic/Center
  • New York, NY
  • NPI 1417986340

  Multi-Specialty

  Medicare reassignment NPD
• Shlomit Levy

  • Preferred Provider Organization
  • New York, NY
  • NPI 1407219447
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1356532386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WOODLAND PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822687",
            "telephone_number": "713-589-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 133RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100303301",
            "telephone_number": "646-762-4950",
            "fax_number": "646-762-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Sister Pierre Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047536",
            "country_code": "US",
            "telephone_number": "410-823-6408",
            "fax_number": "443-279-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOBI",
        "first_name": "VICTOR",
        "middle_name": "AZUBIKE",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "679575",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R178048",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING BOARD",
            "identifier": "679575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoey Ammon, PA-C
• Christopher Ammons
• Amna Omer Internal Medicine PC
• Amnon Beniaminovitz MD PC
• Angela Amoako, PA
• Kelly Ann Amodeo, SPECIALIST
• Salvatore Amodeo, MD
• Amanda Amodio, LCSW-R
• John Amodio, M.D.
• Glydee Amoguis, SPEECH PATHOLOGIST

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.