Active NPI
Chiedozie C Chigewe, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1467939785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402519-1
- Practice address
- 2010 Atlantic Ave
Brooklyn, NY 11233-3163 - Phone
- (718) 408-6366
- NPI assigned
- Jul 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402519-1 | NY | Primary |
Addresses
Primary practice location
2010 Atlantic Ave
Brooklyn, NY 11233-3163
Mailing address
9404 218TH St
Queens Village, NY 11428-2139
Phone (347) 620-1760
Other practice location 1
100 Duffy Ave Ste 510
Hicksville, NY 11801-3636
Phone (347) 530-7373
Other practice location 2
733 3rd Ave Fl 16
New York, NY 10017-3224
Phone (347) 530-7373
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F402519-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Chance NP in Psychiatry PC | Current | Accepting new patients |
Locations
733 3rd Ave
Fl 16
New York, NY 10017
Phone (646) 450-3064
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Hempstead, NY
- NPI 1770280844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1467939785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404 218TH ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114282139",
"telephone_number": "347-620-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112333163",
"telephone_number": "718-408-6366"
}
],
"practiceLocations": [
{
"address_1": "100 Duffy Ave Ste 510",
"address_purpose": "LOCATION",
"city": "Hicksville",
"state": "NY",
"postal_code": "118013636",
"country_code": "US",
"telephone_number": "347-530-7373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "733 3rd Ave Fl 16",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100173224",
"country_code": "US",
"telephone_number": "347-530-7373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIGEWE",
"first_name": "CHIEDOZIE",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-20",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402519-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.