Individual provider Active NPI

Royston Ogbuagu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1609242916
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8718453 Issued in NY
Practice address
203 Jay St Ste 501
Brooklyn, NY 11201-4314
Phone
(917) 416-7490
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 627489-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8718453 NY Primary

Addresses

Primary practice location

203 Jay St Ste 501
Brooklyn, NY 11201-4314

Mailing address

203 Jay St Ste 501
Brooklyn, NY 11201-4314
Phone (917) 416-7490

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
I20210617000607 NY Practitioner - Nurse Practitioner 1355741026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

203 Jay St
Suite 501
Brooklyn, NY 11201-4398
Phone (347) 304-9465

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
627489-1NYMDPsychiatric/Mental Health Registered Nurse
8718453NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince May 1, 2021 Accepting new patients
Carmel Psychological Health, PC CurrentSince Jul 1, 2021 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

393 Broadway
Brooklyn, NY 11211
Phone (516) 984-9692

250 Skillman St
Ste 202
Brooklyn, NY 11205

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

1501 Broadway
Ste 1505
New York, NY 10036
Phone (332) 245-0300

Interoperability endpoints

  • Direct secure messaging: cpa.roystonogbuagu@142175.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1609242916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 JAY ST STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014314",
            "telephone_number": "917-416-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 JAY ST STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014314",
            "telephone_number": "917-416-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUAGU",
        "first_name": "ROYSTON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "627489-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "8718453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.