Active NPI
Nkanga Nkanga, M.D.
- Legal Medicine
- Staten Island, NY
National Provider Identifier
1679529937
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 192799
- Practice address
- 78 Cromwell Ave
Staten Island, NY 10304-3933 - Phone
- (718) 351-3388
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 192799 | NY | Primary |
Addresses
Primary practice location
78 Cromwell Ave
Staten Island, NY 10304-3933
Mailing address
7880 Cromwell Ave
Staten Island, NY 10304
Phone (718) 351-3388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06152217 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679529937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7880 CROMWELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10304",
"telephone_number": "718-351-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 CROMWELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043933",
"telephone_number": "718-351-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKANGA",
"first_name": "NKANGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "192799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06152217",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.