Individual provider Active NPI

Carol Iheagwara, N.P.

  • Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1376560870
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333949 Issued in NY
Practice address
2 Park Ave
Yonkers, NY 10703-3402
Phone
(914) 966-9787
Fax
(914) 966-9793
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333949 NY Primary

Addresses

Primary practice location

2 Park Ave
Yonkers, NY 10703-3402

Mailing address

PO Box 998
Attn: Riverside Management Services, Org.
Yonkers, NY 10703-0998
Phone (914) 966-9787

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
I20040507000117 NY Practitioner - Nurse Practitioner 8426047366 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333949NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Apr 29, 2023 Accepting new patients
Symphony Medical PC CurrentSince Dec 1, 2018 Accepting new patients
Symphony Medical PC CurrentSince Dec 1, 2018 Accepting new patients

Locations

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1376560870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "address_2": "ATTN: RIVERSIDE MANAGEMENT SERVICES, ORG.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107030998",
            "telephone_number": "914-966-9787",
            "fax_number": "914-966-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107033402",
            "telephone_number": "914-966-9787",
            "fax_number": "914-966-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEAGWARA",
        "first_name": "CAROL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.