Active NPI
Ugochukwu Darlington Enyinnah, PRESIDENT
- Personal Care Attendant
- Far Rockaway, NY
National Provider Identifier
1457056723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1036 McBride Street
Far Rockaway, NY 11691 - Phone
- (347) 606-5481
- NPI assigned
- Apr 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1036 McBride Street
Far Rockaway, NY 11691
Mailing address
1036 McBride Street
Far Rockaway, NY 11691
Phone (347) 606-5481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1457056723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 MCBRIDE STREET",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "347-606-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 MCBRIDE STREET",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "347-606-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENYINNAH",
"first_name": "UGOCHUKWU",
"middle_name": "DARLINGTON",
"name_prefix": "Mr.",
"credential": "PRESIDENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.