Osarose Izevbizua

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

500 Peconic St Apt 96a
Ronkonkoma, NY 11779-7124

Phone

(631) 747-2240

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Oti Management Consulting, Inc

  dba OTI Community Services

  • Case Management Agency
  • Hempstead, NY
  • NPI 1558757658
  NPD
• Oti Management Consulting, Inc

  • Case Manager/Care Coordinator
  • Milltown, NJ
  • NPI 1346191566
  NPD

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1548686132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PECONIC ST APT 96A",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797124",
            "telephone_number": "631-747-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PECONIC ST APT 96A",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797124",
            "telephone_number": "631-747-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZEVBIZUA",
        "first_name": "OSAROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Interventions
• Island Mobility Physical Therapy P.C.
• Island Neurology PC
• Belinda Izevbizua
• Osahon Izevbizua
• Dana Jahn, MS PT
• Ankit A Jain, DDS
• Mark Jakubowski
• Pamela P Jalloh, LPN
• James M. Shinol, Acupuncture, PC (Think Acupuncture)

• Case Manager/Care Coordinator in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.