Individual provider Active NPI

Chinwe Enwereuzoh

  • Case Manager/Care Coordinator
  • Brooklyn, NY
National Provider Identifier
1508417502
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
330 Lenox Rd
Ste 3C
Brooklyn, NY 11226-2262
Phone
(929) 605-7008
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

330 Lenox Rd
Ste 3C
Brooklyn, NY 11226-2262

Mailing address

330 Lenox Rd Apt 3C
Ste 3C
Brooklyn, NY 11226-2262
Phone (929) 605-7008

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

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1508417502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LENOX RD APT 3C",
            "address_2": "STE 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262262",
            "telephone_number": "929-605-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LENOX RD",
            "address_2": "STE 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262262",
            "telephone_number": "929-605-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWEREUZOH",
        "first_name": "CHINWE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Sep 26, 2019; 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.