Active NPI
Nsemboowo Enyong
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F405420
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 583-7736
- Fax
- (718) 537-6180
- NPI assigned
- Nov 16, 2023
- Last updated
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1110754 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F405420 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F405420 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1110754 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connectionswa, LLC | Current | Accepting new patients | |
| El Roi Ensy Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Connectionswa, LLC | Current | Accepting new patients | |
| Enzy Healthcare LLC | Current | Accepting new patients | |
| Shakespeare Operating LLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients |
Locations
1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647
1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
11410 NE 122nd Way
Ste 100
Kirkland, WA 98034
Phone (425) 650-4005
11410 NE 122nd Way
Ste S250
Kirkland, WA 98034
Phone (425) 650-4005
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
dba Bronx Treatment Center
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kirkland, WA
- NPI 1114607140
-
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
- NPI 1245108729
-
- Home Health Agency
- Katy, TX
- NPI 1710633920
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kirkland, WA
- NPI 1558042234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1477328839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 HALPERIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104612631",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-583-7736",
"fax_number": "718-537-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENYONG",
"first_name": "NSEMBOOWO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1110754",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F405420",
"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 Jun 28, 2024; 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.