Nnedindu Asogwa, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Statenisland, NY
NPI 1629647342 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1629647342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 475 Seaview Avenue
Statenisland, NY 10305 - Phone
- (718) 226-8313
- NPI assigned
- Jun 18, 2021
- Reactivated
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
475 Seaview Avenue
Statenisland, NY 10305
Mailing address
475 Seaview Avenue
Staten Island, NY 10305
Other names
- Nnedi Maria Asadu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.