Active NPI
Emmanuel Chukwuemeka Ogbonnaya, LPN
- Registered Nurse
- Bronx, NY
National Provider Identifier
1710200837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 655546
- Practice address
- 2753 Sexton PL
Bronx, NY 10469-5203 - Phone
- (646) 996-5911
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 296512 | NY | |
| Registered Nurse | 163W00000X | 655546 | NY | Primary |
Addresses
Primary practice location
2753 Sexton PL
Bronx, NY 10469-5203
Mailing address
35 Beech CT
Fishkill, NY 12524
Phone (646) 996-5911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296512 | Other | NY | LPN LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655546 | NY | MD | Registered Nurse |
| 296512 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1710200837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BEECH CT",
"city": "FISHKILL",
"state": "NY",
"postal_code": "12524",
"telephone_number": "646-996-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2753 SEXTON PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104695203",
"telephone_number": "646-996-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBONNAYA",
"first_name": "EMMANUEL",
"middle_name": "CHUKWUEMEKA",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "296512",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "655546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN LICENSE",
"identifier": "296512",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.