Individual provider Active NPI

Hajime Ichikawa, NP

  • Family Nurse Practitioner
  • Ossining, NY
National Provider Identifier
1659970853
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348758 Issued in NY
Practice address
38 1/2 Wolden Rd Apt B1-5
Ossining, NY 10562-5311
Phone
(914) 426-7570
NPI assigned
Oct 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 733781 NY
Family Nurse Practitioner 363LF0000X 348758 NY Primary

Addresses

Primary practice location

38 1/2 Wolden Rd Apt B1-5
Ossining, NY 10562-5311

Mailing address

38 1/2 Wolden Rd Apt B1-5
Ossining, NY 10562-5311
Phone (914) 426-7570

Other practice location 1

1202 Hilltop Rd
Mahwah, NJ 07430-2289
Phone (914) 426-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
733781NYMDRegistered Nurse
348758NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1659970853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 1/2 WOLDEN RD APT B1-5",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625311",
            "telephone_number": "914-426-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 1/2 WOLDEN RD APT B1-5",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625311",
            "telephone_number": "914-426-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Hilltop Rd",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "074302289",
            "country_code": "US",
            "telephone_number": "914-426-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ICHIKAWA",
        "first_name": "HAJIME",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "733781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.