Individual provider Active NPI

Azuka Anyoku, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1386747681
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212122 Issued in NY
Practice address
1420 Bushwick Ave
Ste 154
Brooklyn, NY 11207-1422
Phone
(718) 455-3036
Fax
(718) 455-0999
NPI assigned
Sep 6, 2006
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212122 NY Primary

Addresses

Primary practice location

1420 Bushwick Ave
Ste 154
Brooklyn, NY 11207-1422

Mailing address

19 Steele Hill Rd
Old Westbury, NY 11568-1415
Phone (516) 435-5235

Other identifiers 1

IdentifierTypeStateIssuer
02267545MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aanyoku148402@nyumc.direct-ci.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000956 NY Practitioner - Internal Medicine 7214125616 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212122NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
North Brooklyn Wellness Medical Practice LLC Internal Medicine Past Accepting new patients
Azuka Anyoku, MD Dba Fsnny Internal Medicine Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807

760 Broadway
Rm 2B230
Brooklyn, NY 11206

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

22802 Merrick Blvd
Fl 1
Laurelton, NY 11413
Phone (646) 501-4950

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Networks

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

Interoperability endpoints

  • Direct secure messaging: aanyoku148402@nyumc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1386747681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STEELE HILL RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681415",
            "telephone_number": "516-435-5235",
            "fax_number": "718-455-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BUSHWICK AVE",
            "address_2": "STE 154",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071422",
            "telephone_number": "718-455-3036",
            "fax_number": "718-455-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYOKU",
        "first_name": "AZUKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02267545",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aanyoku148402@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "22414 Merrick Blvd",
            "city": "Laurelton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.