Individual provider Active NPI

Sylvia C Terry-Ucheagwu, ANP

  • Adult Health Nurse Practitioner
  • Huntington, NY
National Provider Identifier
1689347031
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310430-01 Issued in NY
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

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07491481MedicaidNY
F310430-01OtherNYNURSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920002894 NY Practitioner - Nurse Practitioner 8921483447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
569473NYMDRegistered Nurse
26NR12364600NJMDCritical Care Medicine Registered Nurse
310430NYMDPediatrics Physician
F310430-01NYMDAdult 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

Verify at the official NPI Registry.