Individual provider Active NPI

Ada C Nnabugwu, NP

  • Adult Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1639312572
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305075-1 Issued in NY
Practice address
310 S Manning Blvd
Albany, NY 12208-1771
Phone
(518) 525-8600
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305075-1 NY Primary

Addresses

Primary practice location

310 S Manning Blvd
Albany, NY 12208-1771

Mailing address

27 Devonshire Way
Clifton Park, NY 12065-3230
Phone (518) 373-1123

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
I20110323000347 NY Practitioner - Nurse Practitioner 5698958031 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305075-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 21, 2025 Accepting new patients
Community Care Physicians, PLLC CurrentSince Sep 17, 2024 Accepting new patients
Albany Medical College CurrentSince Apr 21, 2025 Accepting new patients
Mill Basin Medical Health PC CurrentSince Apr 14, 2025 Accepting new patients
Hospitalist Medicine Physicians of Albany County, PLLC Past Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Past Accepting new patients
Albany Medical College Past Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

43 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Interoperability endpoints

  • Direct secure messaging: annabugwu93813@albanymed.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1639312572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DEVONSHIRE WAY",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653230",
            "telephone_number": "518-373-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081771",
            "telephone_number": "518-525-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNABUGWU",
        "first_name": "ADA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305075-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.