Individual provider Active NPI

Chinyere Ebere Ofonagoro, M.D

  • Internal Medicine Physician
  • New Windsor, NY
National Provider Identifier
1477518231
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207719 Issued in NY
Practice address
537 Blooming Grove Tpke
New Windsor, NY 12553-7843
Phone
(845) 561-8500
Fax
(845) 561-8855
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207719 NY Primary

Addresses

Primary practice location

537 Blooming Grove Tpke
New Windsor, NY 12553-7843

Mailing address

243 North Rd
Suite 304
Poughkeepsie, NY 12601-1172
Phone (845) 451-7251

Other identifiers 1

IdentifierTypeStateIssuer
01922123MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000141 NY Practitioner - Internal Medicine 4183646953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

243 N Rd
Poughkeepsie, NY 12601-1173

3125 Route 9W
Suite 201
New Windsor, NY 12553-6764
Phone (845) 561-8500

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207719NYMDInternal Medicine Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Oct 1, 2014 Accepting new patients
Chinyere Ofonagoro Physician PLLC Internal Medicine Current Accepting new patients
Morningside Medical Practice, P.C. Internal Medicine Past Accepting new patients

Locations

22 W 1st St
Ste 314
Mount Vernon, NY 10550
Phone (914) 668-3950

3125 Route 9W
Ste 201
New Windsor, NY 12553
Phone (202) 351-9176

537 Blooming Grove Tpke
New Windsor, NY 12553
Phone (845) 561-8500

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: cofonagoro@premiermedicalhv.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1477518231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-451-7251",
            "fax_number": "845-451-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 BLOOMING GROVE TPKE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537843",
            "telephone_number": "845-561-8500",
            "fax_number": "845-561-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFONAGORO",
        "first_name": "CHINYERE",
        "middle_name": "EBERE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01922123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.