Individual provider Active NPI

Nnamdi Uwakwe

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1700492436
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343466-1 Issued in NY
Practice address
5546 Broadway
Bronx, NY 10463-5250
Phone
(917) 688-4590
NPI assigned
Sep 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343466-1 NY Primary

Addresses

Primary practice location

5546 Broadway
Bronx, NY 10463-5250

Mailing address

931 E 174TH St
Bronx, NY 10460-5226
Phone (917) 310-3371

Other practice location 1

332 E 149th St
Bronx, NY 10451-5627
Phone (347) 329-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201206000000 NY Practitioner - Nurse Practitioner 7810308392 Reassigns benefits to 4 organizations
I20260306001387 NJ Practitioner - Nurse Practitioner 7810308392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Optum Urgent Care PLLCGroup PAC ID 8628299518, 68 clinicians
Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Practice addresses (Care Compare)

16450 Crossbay Blvd
Howard Beach, NY 11414-3749
Phone (718) 848-8412

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

2 Journal Square PLZ
Suite a
Jersey City, NJ 07306-4001
Phone (551) 325-2333

587 Cedar Lane
Teaneck, NJ 07666-1701
Phone (201) 387-0177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343466-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hicksville Family Medical Care, PLLC CurrentSince Apr 21, 2021 Accepting new patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Apr 21, 2021 Accepting new patients
Am PM Walk in Urgent Care Clinic CurrentSince Jan 7, 2026 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Divinity Medical Services PLLC CurrentSince Aug 28, 2020 Accepting new patients

Locations

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

5546 Broadway
Bronx, NY 10463
Phone (917) 383-2164

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

16450 Crossbay Blvd
Howard Beach, NY 11414
Phone (718) 843-3366

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1700492436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E 174TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605226",
            "telephone_number": "917-310-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635250",
            "telephone_number": "917-688-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515627",
            "country_code": "US",
            "telephone_number": "347-329-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UWAKWE",
        "first_name": "NNAMDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-01-29",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.