Nkem B Chukwumezie

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2551L001 Issued in NY

Practice address

21451 Jamaica Ave
Queens Village, NY 11428-1733

Phone

(347) 894-8949

Fax

(347) 894-8949

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 Mercy Tender Loving Care (Dmtlc) LLC

  • Home Health Aide
  • Queens Village, NY
  • NPI 1508619602

  Nursing Care

  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1366295545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200645",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114200645",
            "telephone_number": "412-860-8445",
            "fax_number": "347-894-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21451 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281733",
            "telephone_number": "347-894-8949",
            "fax_number": "347-894-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUMEZIE",
        "first_name": "NKEM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "2551L001",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NY",
            "license": "2551L001",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "2551L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjidah Chowdhury
• Tarick Christian, LPN
• Katiuscia Christopher
• Nadine Christopher
• Linda Chu Lam, RPH
• Jomol P Chummar
• Yin Yea Chyu, M.D.
• Michael Ciatto, M.D.
• Cifuentes Child Development, Corp.
• Sandra Cifuentes, MSE

• Home Health Aide in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.