Fayona Brun-Ezeocha

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

613390 Issued in NY

Practice address

964 Woodoak Drive
Baldwin, NY 11510

Phone

(516) 376-7294

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1619850765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 WOODOAK DRIVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 WOODOAK DRIVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-376-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUN-EZEOCHA",
        "first_name": "FAYONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "613390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Breen, CNM
• Margaret Brennan, RN
• Bretify Solution LLC
• Lucille Rose Brind, MS, RD, CDN
• Lynn Broder, LMSW
• Chaya-Sarah Brun-Kestler
• Edith S Bruno, PHARMACIST
• Jean Brutus
• Melissah Ashley Brutus
• Karla Burleson, COTA/L

• All providers in Baldwin, NY
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.