Individual provider Active NPI

Ronald Otwori, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1366859753
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F338856-1 Issued in NY
Practice address
1101 Nott St
Schenectady, NY 12308-2425
Phone
(518) 243-4135
Fax
(518) 243-1367
NPI assigned
Jul 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338856-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F338856-1 NY Primary

Addresses

Primary practice location

1101 Nott St
Schenectady, NY 12308-2425

Mailing address

4B Sheridan VLG Apt 3
Schenectady, NY 12308-1462
Phone (518) 577-3640

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002000199 NY Practitioner - Nurse Practitioner 0345460911 Reassigns benefits to 6 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Clifton Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York General Medical Services PCGroup PAC ID 7810255494, 18 clinicians

Practice addresses (Care Compare)

258 Ushers Rd
Suite 203
Clifton Park, NY 12065-1428
Phone (518) 577-3640

2902 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 273-2040

2920 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 274-4125

40 Autumn Dr
Slingerlands, NY 12159-9356
Phone (518) 482-8774

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338856-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Che Senior Psychological Services, PC Psychiatric/Mental Health CurrentSince Apr 5, 2022 Accepting new patients
Ronald Otwori NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 12, 2024 Accepting new patients
Mikram Jafri MD PC CurrentSince Feb 1, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jul 1, 2019 Accepting new patients
New York General Medical Services PC CurrentSince May 9, 2020 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Nov 10, 2024 Accepting new patients
Ronald O Otwori Nurse Practitioner in Family Health PLLC Family Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

325 Northern Blvd
Albany, NY 12204
Phone (518) 328-3605

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

258 Ushers Rd
Ste 203
Clifton Park, NY 12065
Phone (518) 383-3356

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

9876 Luckey Dr
Houghton, NY 14744
Phone (585) 567-2207

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1366859753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4B SHERIDAN VLG APT 3",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081462",
            "telephone_number": "518-577-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTWORI",
        "first_name": "RONALD",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338856-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F338856-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.