Individual provider Active NPI

Nwanneka V Ndubuaku

  • Certified Registered Nurse Anesthetist
  • Bronx, NY
National Provider Identifier
1386852903
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
118213 Issued in NY
Practice address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone
(718) 466-8153
Fax
(516) 945-3131
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN562675 PA
Certified Registered Nurse Anesthetist 367500000X 118213 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

302 2ND St Apt 9L
Brooklyn, NY 11215-8508
Phone (267) 249-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180713000880 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628324183 Reassigns benefits to 4 organizations
I20180717000849 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628324183 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Hudson Health Anesthesia PLLCGroup PAC ID 1052702883, 49 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN562675PAMDRegistered Nurse
118213NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Anesthesiology Services, PC CurrentSince May 18, 2019 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jun 1, 2018 Accepting new patients
Hudson Health Anesthesia PLLC CurrentSince Jul 1, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 6, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Nov 3, 2021 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Bridgeport Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Jul 21, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Nov 3, 2021 Accepting new patients
John B Robbins MD PC Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

111 E 210th St
Bronx, NY 10467

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

303 S Broadway
Ste 34
Tarrytown, NY 10591
Phone (914) 366-6161

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 11

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 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1386852903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND ST APT 9L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158508",
            "telephone_number": "267-249-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-466-8153",
            "fax_number": "516-945-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUBUAKU",
        "first_name": "NWANNEKA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN562675",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "118213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.