Individual provider Active NPI

Victoria Ogechi Iwuji

  • Adult Health Nurse Practitioner
  • Corona, NY
National Provider Identifier
1508465980
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311429 Issued in NY
Practice address
9838 57TH Ave Apt 5F
Corona, NY 11368-4923
Phone
(347) 832-9602
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 778746-01 NY
Adult Health Nurse Practitioner 363LA2200X F311429 NY Primary

Addresses

Primary practice location

9838 57TH Ave Apt 5F
Corona, NY 11368-4923

Mailing address

9838 57TH Ave Apt 5F
Corona, NY 11368-4923
Phone (347) 832-9602

Other identifiers 1

IdentifierTypeStateIssuer
778746-01OtherNYNEW YORK STATE

Other names 1

  • Victoria Ogechi Iwuji Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iwujiv@nychhc.nyc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029002993 NY Practitioner - Nurse Practitioner 9830622802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
778746-01NYMDRegistered Nurse
F311429NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rd Medical Professional Services PC CurrentSince Oct 18, 2024 Accepting new patients

Locations

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634

Networks

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

Interoperability endpoints

  • Direct secure messaging: viwuji1447640@nychhc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1508465980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 57TH AVE APT 5F",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684923",
            "telephone_number": "347-832-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9838 57TH AVE APT 5F",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684923",
            "telephone_number": "347-832-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUJI",
        "first_name": "VICTORIA",
        "middle_name": "OGECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "778746-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "778746-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iwujiv@nychhc.nyc.org",
            "affiliation": "N",
            "endpointDescription": "iwujiv@nychhc.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9838 57th Ave Apt 5F",
            "city": "Corona",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113684923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "IWUJI",
            "middle_name": "OGECHI",
            "credential": "NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.