Owuzechi Jessie Hardy, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Elmhurst Hospital Center
79-01 Broadway
Queens, NY 11373

Phone

(781) 334-3542

Fax

(718) 334-3441

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1487235271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ELLIOT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022310",
            "telephone_number": "774-381-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELMHURST HOSPITAL CENTER",
            "address_2": "79-01 BROADWAY",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "781-334-3542",
            "fax_number": "718-334-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Elliot St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022310",
            "country_code": "US",
            "telephone_number": "774-381-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "OWUZECHI",
        "middle_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "08493231",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "08493231",
            "identifier": "08493231",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "70 Elliot St",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023022310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "Elmhurst Hospital Center",
            "address_2": "79-01 Broadway",
            "city": "Queens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "Elmhurst Hospital Center",
            "address_2": "79-01 Broadway",
            "city": "Queens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "Elmhurst Hospital Center",
            "address_2": "79-01 Broadway",
            "city": "Queens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Graham
• Jordana Grossman
• Audrey Guardino, M.S., CCC-SLP
• Akosua Gyasi, RN
• Kayee Haglund, NURSE PRACTITIONER
• Brianna Harney-Delehanty
• Healthcare Resource Management Group Inc
• Albaraa Hendawi
• Hillside Medical & Rehabilitation, PC
• Katherine Grace Hood, PHARMD

• Student in an Organized Health Care Education/Training Program in Queens, NY
• Providers in Queens, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.