Victor Okwukaogu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2338323 Issued in MA

Practice address

20 Park St Apt 29
Lynn, MA 01905-2272

Phone

(781) 513-2780

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nova Healthcare Services LLC

  • Primary Care Clinic/Center
  • Lynn, MA
  • NPI 1457156796
  Medicare reassignment NPD Authorized official
• Vantage Healthcare LLC

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1578287546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK ST APT 29",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052272",
            "telephone_number": "781-513-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK ST APT 29",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052272",
            "telephone_number": "781-513-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUKAOGU",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2338323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ogbeiwi, RN
• Esther Okao
• Felicia Oke
• Ewemade Okunmwendia
• Ujunwa Okwukaogu
• Isaac Oladiran Olatunde
• Romenie Olivares
• Caroline Welsh Oliveira, MS, SLP
• Jacqueline Oliveira
• Natasha Oliveira, OTR/L

• Family Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.