Individual provider Active NPI

Nnamdi Maduekwe, MD

  • Psychiatry Physician
  • Pomona, NY
National Provider Identifier
1659424398
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
244833 Issued in NY
Practice address
81 Halley Drive
Pomona, NY 10970
Phone
(646) 286-9770
NPI assigned
Jan 18, 2007
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244833 NY
Psychiatry Physician 2084P0800X 72661 CT
Psychiatry Physician 2084P0800X 244833 NY Primary

Addresses

Primary practice location

81 Halley Drive
Pomona, NY 10970

Mailing address

81 Halley Drive
Pomona, NY 10970
Phone (646) 286-9770

Other practice location 1

34 Maple St
Norwalk, CT 06850-3815
Phone (866) 642-9355

Other identifiers 1

IdentifierTypeStateIssuer
501BT1OtherNYPROVIDER IDENTIFICATION N

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nmaduekwe238416@direct.urmc.rochester.edu Direct
Direct Messaging Address maduekwen@montefiorenyack.org Direct
Direct Messaging Address nmaduekwe238416@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050503000456 NY Practitioner - PsychiatryPractitioner - Neurology 1254370802 Reassigns benefits to 8 organizations
I20221213001231 CT Practitioner - Psychiatry 1254370802

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians
Montefiore Nyack HospitalGroup PAC ID 2668485046, 21 clinicians

Practice addresses (Care Compare)

160 E Main St
Port Jervis, NY 12771-2253
Phone (845) 858-7000

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.75 of 100Reported as group
Quality
67.52
Promoting interoperability
95
Improvement activities
20
Cost
74.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244833NYMDInternal Medicine Physician
72661CTMDPsychiatry Physician
002332NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Nyack Hospital CurrentSince Sep 25, 2019 Accepting new patients
Montefiore Nyack Hospital CurrentSince Sep 25, 2019 Accepting new patients
Kings Medical Family Practice PC CurrentSince Sep 15, 2024 Accepting new patients
Highland Medical P.C. Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Access: Supports for Living Inc CurrentSince Mar 16, 2015 Accepting new patients
University of Rochester CurrentSince Jun 25, 2022 Accepting new patients
University of Rochester Internal Medicine CurrentSince Jun 25, 2022 Accepting new patients
Balm of Gilead Medical Office, PC Internal Medicine CurrentSince Oct 30, 2017 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 1, 2020 Accepting new patients
Access: Supports for Living Inc. CurrentSince Mar 16, 2015 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 1, 2020 Accepting new patients
Ag Urgent Care, P.C. CurrentSince Sep 15, 2024 Accepting new patients
Maimonides Medical Center Past Accepting new patients
Premier Behavioral Services Inc Psychiatry PastSince Oct 30, 2022 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Downstate Mental Hygiene Associates Past Accepting new patients
Bon Secours Community Hospital Past Accepting new patients
Bon Secours Community Hospital Past Accepting new patients

Locations

4626 White Plains Rd
Bronx, NY 10470
Phone (718) 547-4077

1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903

4809 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4120

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

87 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-5381

16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553

24 Union St
Middletown, NY 10940
Phone (845) 343-1173

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#864
Rochester, NY 14642

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

95 N Main St
Spring Valley, NY 10977
Phone (845) 425-8800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nmaduekwe@montefioredirect.com
  • Direct secure messaging: nmaduekwe238416@direct.urmc.rochester.edu

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1659424398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HALLEY DRIVE",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "646-286-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HALLEY DRIVE",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "646-286-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Maple St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503815",
            "country_code": "US",
            "telephone_number": "866-642-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADUEKWE",
        "first_name": "NNAMDI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-07-17",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244833",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "72661",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION N",
            "identifier": "501BT1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmaduekwe238416@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maduekwen@montefiorenyack.org",
            "affiliation": "N",
            "endpointDescription": "mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "6462869770",
            "address_1": "81 HALLEY DRIVE",
            "city": "POMONA",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmaduekwe238416@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.