Individual provider Active NPI

Angela Chinwe Okike, DNP

  • Pediatric Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1538433032
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382175 Issued in NY
Practice address
12520 Sutphin Blvd
Jamaica, NY 11434-2340
Phone
(718) 322-9086
Fax
(718) 529-0852
NPI assigned
Mar 1, 2012
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382175 NY Primary

Addresses

Primary practice location

12520 Sutphin Blvd
Jamaica, NY 11434-2340

Mailing address

12520 Sutphin Blvd
Jamaica, NY 11434-2340
Phone (718) 322-9086

Other identifiers 1

IdentifierTypeStateIssuer
04578121MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aokike07@lions.molloy.edu
Direct Messaging Address aokike07@lions.molloy.edu

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
I20200331002502 NY Practitioner - Nurse Practitioner 5092144766 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
382175NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince Sep 9, 2024 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Flushing Hospital & Medical Center CurrentSince Mar 7, 2020 Accepting new patients
Flushing Hospital Medical Center CurrentSince Mar 7, 2020 Accepting new patients
Long Island FQHC, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Elmont Community Health Center Past Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

619 Fulton Ave
Hempstead, NY 11550
Phone (516) 571-1300

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

Networks

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

Interoperability endpoints

  • Direct secure messaging: aokike34741@direct.medisys.org

Organizations & group practices 7

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1538433032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342340",
            "telephone_number": "718-322-9086",
            "fax_number": "718-529-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342340",
            "telephone_number": "718-322-9086",
            "fax_number": "718-529-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKIKE",
        "first_name": "ANGELA",
        "middle_name": "CHINWE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04578121",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aokike07@lions.molloy.edu",
            "affiliation": "N",
            "address_1": "12520 Sutphin Blvd",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114342340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aokike07@lions.molloy.edu",
            "affiliation": "N",
            "address_1": "12520 Sutphin Blvd",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114342340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.