Individual provider Active NPI

Ngozi Edith Nnadi, MD

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1598805244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
231103 Issued in NY
Practice address
1819 Bergen St
Brooklyn, NY 11233-4513
Phone
(718) 221-4500
Fax
(718) 221-4569
NPI assigned
Feb 8, 2007
Sex
Female
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
Child & Adolescent Psychiatry Physician 2084P0804X 231103 NY Primary

Addresses

Primary practice location

1819 Bergen St
Brooklyn, NY 11233-4513

Mailing address

206 Zabriskie PL
New Milford, NJ 07646-2920
Phone (201) 951-7148

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
I20230530002142 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 5597122986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231103NYMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: bkisnen@hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598805244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ZABRISKIE PL",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462920",
            "telephone_number": "201-951-7148",
            "fax_number": "718-221-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334513",
            "telephone_number": "718-221-4500",
            "fax_number": "718-221-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNADI",
        "first_name": "NGOZI",
        "middle_name": "EDITH",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "231103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.