Individual provider Active NPI

Uchenna C Gogor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Chester, NY
National Provider Identifier
1477732923
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406883 Issued in NY
Practice address
10 Pearl St FL 2
Port Chester, NY 10573-4611
Phone
(914) 265-2762
NPI assigned
Nov 1, 2007
Reactivated
Aug 25, 2020
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406883 NY Primary

Addresses

Primary practice location

10 Pearl St FL 2
Port Chester, NY 10573-4611

Mailing address

10 Pearl St FL 2
Port Chester, NY 10573-4611

Other identifiers 1

IdentifierTypeStateIssuer
02913500MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818004227 NY Practitioner - Nurse Practitioner 6608375449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 E 175TH St
Bronx, NY 10457-5859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
406883NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Bronx Parents, Inc. CurrentSince Jun 10, 2025 Accepting new patients
Carmel Psychological Health, PC CurrentSince Aug 17, 2025 Accepting new patients
The Fleurantin Corp Past Accepting new patients

Locations

1006 E 151st St
Fl 14
Bronx, NY 10455
Phone (718) 960-7522

311 E 175th St
Bronx, NY 10457

773 Prospect Ave
Bronx, NY 10455
Phone (718) 960-7522

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

10 Pearl St
#2
Port Chester, NY 10573
Phone (914) 265-2762

Organizations & group practices 3

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1477732923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PEARL ST FL 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PEARL ST FL 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734611",
            "telephone_number": "914-265-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGOR",
        "first_name": "UCHENNA",
        "middle_name": "C",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "deactivation_date": "2016-04-11",
        "reactivation_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02913500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.