Individual provider Active NPI

Ifeoma Nwokorie

  • General Practice Dentistry
  • Cortlandt Manor, NY
National Provider Identifier
1427156587
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049300 Issued in NY
Practice address
99 Locust Ave
Cortlandt Manor, NY 10567-2615
Phone
(914) 737-2838
Fax
(914) 737-8465
NPI assigned
Sep 20, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049300 NY Primary

Addresses

Primary practice location

99 Locust Ave
Cortlandt Manor, NY 10567-2615

Mailing address

1 Red Oak Lane
Cortlandt Manor, NY 10567
Phone (914) 736-1560

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824001414 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648565028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049300NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inor Dental PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1427156587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RED OAK LANE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-736-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LOCUST AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105672615",
            "telephone_number": "914-737-2838",
            "fax_number": "914-737-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKORIE",
        "first_name": "IFEOMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.