Active NPI
Sylvia C Terry-Ucheagwu, ANP
- Adult Health Nurse Practitioner
- Huntington, NY
National Provider Identifier
1689347031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F310430-01
- Practice address
- 17 Southdown Rd
Huntington, NY 11743-2538 - Phone
- (347) 767-0786
- NPI assigned
- Jul 30, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 569473 | NY | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 26NR12364600 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 310430 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F310430-01 | NY | Primary |
Addresses
Primary practice location
17 Southdown Rd
Huntington, NY 11743-2538
Mailing address
17 Southdown Rd
Huntington, NY 11743-2538
Phone (347) 767-0786
Other practice location 1
1339 York Ave
New York, NY 10021-4707
Phone (646) 358-4428
Other practice location 2
Urban Medical Center
751 Bergen Ave Jersey City, NJ 07304
Phone (201) 332-7077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07491481 | Medicaid | NY | |
| F310430-01 | Other | NY | NURSE PRACTITIONER LINCENCE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920002894 | NY | Practitioner - Nurse Practitioner | 8921483447 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 569473 | NY | MD | Registered Nurse |
| 26NR12364600 | NJ | MD | Critical Care Medicine Registered Nurse |
| 310430 | NY | MD | Pediatrics Physician |
| F310430-01 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1689347031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SOUTHDOWN RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432538",
"telephone_number": "347-767-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SOUTHDOWN RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432538",
"telephone_number": "347-767-0786"
}
],
"practiceLocations": [
{
"address_1": "1339 York Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214707",
"country_code": "US",
"telephone_number": "646-358-4428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "URBAN MEDICAL CENTER",
"address_purpose": "LOCATION",
"city": "751 BERGEN AVE JERSEY CITY",
"state": "NJ",
"postal_code": "07304",
"country_code": "US",
"telephone_number": "201-332-7077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY-UCHEAGWU",
"first_name": "SYLVIA",
"middle_name": "C",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "569473",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NJ",
"license": "26NR12364600",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "310430",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F310430-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07491481",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LINCENCE",
"identifier": "F310430-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.