NPIMap

Organization Active NPI

Ifeoma Ezekwo,M.D.

  • Eyewear Supplier
  • Bronx, NY
National Provider Identifier
1629376447
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
156622 Issued in NY
Legal business name
IFEOMA EZEKWO,M.D.
Doing business as
Bronx Eye Institute
Practice address
3013 Grand Concourse
Bronx, NY 10468-1428
Phone
(718) 367-7888
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Ifeoma Ernestina Ezekwo, M.D.NPI 1184834459
Title
Owner
Phone
(718) 367-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 156622 NY Primary

Addresses

Primary practice location

3013 Grand Concourse
Bronx, NY 10468-1428

Mailing address

3013 Grand Concourse
Bronx, NY 10468-1428
Phone (718) 367-7888

Other identifiers 1

IdentifierTypeStateIssuer
0799959MedicaidNY

Other names 1

  • Bronx Eye Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bronx Eye Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1629376447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681428",
            "telephone_number": "718-367-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681428",
            "telephone_number": "718-367-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFEOMA EZEKWO,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "EZEKWO",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "ERNESTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-367-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "156622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.