Individual provider Active NPI

Kingsley Okechukwu Nwokeji, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1578645255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P49356 Issued in NY
Practice address
681 Clarkson Ave
Brooklyn, NY 11203-2125
Phone
(718) 221-7700
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P49356 NY Primary

Addresses

Primary practice location

681 Clarkson Ave
Brooklyn, NY 11203-2125

Mailing address

1100 Olmstead Ave
Bronx, NY 10472-5210
Phone (718) 597-5717

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000337 NY Practitioner - Psychiatry 6305928326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians
La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

1265 Franklin Ave
Bronx, NY 10456-3501

1276 Fulton Ave
Bronx, NY 10456-3402

1650 Grand Concourse
Bronx, NY 10457-7606

262 E 174TH St
Bronx, NY 10457-7152
Phone (718) 734-2539

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P49356NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud, Inc CurrentSince Jan 24, 2022 Accepting new patients
Bronxcare Health System Psychiatry CurrentSince Jul 1, 2007 Accepting new patients
Bronxcare Health System CurrentSince Jul 1, 2007 Accepting new patients
La Casa de Salud, Inc CurrentSince Jan 24, 2022 Accepting new patients
La Casa de Salud Inc. Current Accepting new patients
Ra Psychiatric NP Services PLLC Psychiatry CurrentSince May 1, 2022 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

548 Throggs Neck Expy
Bronx, NY 10465
Phone (800) 632-7969

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

262 E 174th St
Bronx, NY 10457
Phone (718) 299-6910

915 Westchester Ave
Bronx, NY 10459
Phone (646) 224-9300

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578645255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OLMSTEAD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104725210",
            "telephone_number": "718-597-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032125",
            "telephone_number": "718-221-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKEJI",
        "first_name": "KINGSLEY",
        "middle_name": "OKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "P49356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.