Amarachukwu U Egbujor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342413 Issued in NY

Practice address

565 Pine St
Brooklyn, NY 11208-3901

Phone

(347) 702-1655

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: amarachukwu.egburjo.1@24989.direct.athenahealth.com

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1396346136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PINE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083901",
            "telephone_number": "347-702-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 PINE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083901",
            "telephone_number": "347-702-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUJOR",
        "first_name": "AMARACHUKWU",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Egan, RN
• Nikita Noreen Egbert, MBBS
• David Egbo, MD
• Emeteagbon Egbonoje
• Stephanie Egbuchunam, PA
• Ege PT PC
• Helen Gloria Ngozi Egeruoh, RD, CDN
• Madeline Ann Eggenberger
• Egger NP in Psychiatry PC
• Aya Egger

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.