Organization Active NPI

Chinyere Ofonagoro Physician PLLC

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1508981598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207719 Issued in NY
Legal business name
CHINYERE OFONAGORO PHYSICIAN PLLC
Practice address
22 W 1St St
Suite 314
Mount Vernon, NY 10550-3000
Phone
(914) 668-3950
Fax
(914) 668-3950
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chinyere Ofonagoro, M.D.NPI 1477518231
Title
President
Phone
(914) 668-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

22 W 1St St
Suite 314
Mount Vernon, NY 10550-3000

Mailing address

22 W 1St St
Suite 314
Mount Vernon, NY 10550-3000
Phone (914) 668-3950

Other identifiers 1

IdentifierTypeStateIssuer
01922123MedicaidNY

National Provider Directory

National Provider Directory

Locations

22 W 1st St
Ste 314
Mount Vernon, NY 10550
Phone (914) 662-2928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508981598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 1ST ST",
            "address_2": "SUITE 314",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503000",
            "telephone_number": "914-668-3950",
            "fax_number": "914-668-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 1ST ST",
            "address_2": "SUITE 314",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503000",
            "telephone_number": "914-668-3950",
            "fax_number": "914-668-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINYERE OFONAGORO PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OFONAGORO",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-668-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.