Active NPI
Grace Nwakaego Onovo, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Mount Vernon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402494
- Practice address
- 6 Gramatan Ave Ste 604a
Mount Vernon, NY 10550-3208 - Phone
- (838) 333-0513
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F333959 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402494 | NY | Primary |
Addresses
Primary practice location
6 Gramatan Ave Ste 604a
Mount Vernon, NY 10550-3208
Mailing address
11 Emmett Ter
New Rochelle, NY 10805-1201
Phone (914) 636-2765
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Emmett Ter
New Rochelle, NY 10805-1201
Phone (838) 333-0513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333959 | NY | MD | Family Medicine Physician |
| F402494 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Grace Onovo NP in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| Lyons Medical Care, PLLC | Past | Accepting new patients | |
| Bronx Addiction Services Integrated Concepts System Inc | Past | Accepting new patients |
Locations
8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000
6 Gramatan Ave
Ste 604A
Mount Vernon, NY 10550
Phone (838) 333-0513
Organizations & group practices 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- New Rochelle, NY
- NPI 1790351351
-
dba Project Samaritan Health Services
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1508955592
-
dba Project Samaritan Health Services
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1487923595
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1568492718
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245415991
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1659393510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EMMETT TER",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108051201",
"telephone_number": "914-636-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GRAMATAN AVE STE 604A",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105503208",
"telephone_number": "838-333-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONOVO",
"first_name": "GRACE",
"middle_name": "NWAKAEGO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "F333959",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.