Individual provider Active NPI

Ogadinma Ezinwanyi Onwukwe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1629619150
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407112 Issued in NY
Practice address
2568 Young Ave
Bronx, NY 10469-5620
Phone
(646) 407-7546
NPI assigned
Oct 6, 2019
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 601680 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407112 NY Primary

Addresses

Primary practice location

2568 Young Ave
Bronx, NY 10469-5620

Mailing address

2568 Young Ave
Bronx, NY 10469-5620
Phone (646) 407-7546

Other practice location 1

1500 Waters Pl
Bronx, NY 10461-2723
Phone (718) 931-0600 ext. 3464

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL desktop Direct
SOAP URL Desktop Direct

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
I20251010003238 NY Practitioner - Nurse Practitioner 4880191147 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Bronx, NY 10469
Phone (646) 407-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
601680NYMDRegistered Nurse
407112NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1629619150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 YOUNG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695620",
            "telephone_number": "646-407-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 YOUNG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695620",
            "telephone_number": "646-407-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Waters Pl",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612723",
            "country_code": "US",
            "telephone_number": "718-931-0600 x3464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONWUKWE",
        "first_name": "OGADINMA",
        "middle_name": "EZINWANYI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-06",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "601680",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "endpointDescription": "health information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 Waters Pl",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104612723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "Health information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 Waters Pl",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104612723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.