Active NPI
Iheanyichukwu Aja-Onu, M.D.
- Gastroenterology Physician
- Freeport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 203413
- Practice address
- 3 N Main St
Freeport, NY 11520-2218 - Phone
- (516) 623-5076
- Fax
- (516) 623-5076
- NPI assigned
- Oct 20, 2005
- Last updated
- Jan 5, 2021
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 203413 | NY | Primary |
Addresses
Primary practice location
3 N Main St
Freeport, NY 11520-2218
Mailing address
PO Box 37216
Elmont, NY 11003-7216
Phone (516) 623-5076
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040907001363 | NY | Practitioner - Gastroenterology | 5496721870 | Practice locations: Far Rockaway, NY; Freeport, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- State University of New York Downstate Medical Center, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 N Main St
Freeport, NY 11520-2218
Phone (516) 623-5076
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (516) 623-5076
Hospital & facility affiliations
- Mercy Medical Center
- St John's Episcopal Hospital at South Shore
- Mount Sinai South Nassau
- Long Island Jewish Medical Center
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.29 of 100
- Quality
- 80.38
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 249 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 442 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Dialysis Center LLC | Current | Accepting new patients | |
| Main Street Kidney Group | Current | Accepting new patients | |
| Peninsula Medical Services PC | Past | Accepting new patients |
Locations
3 N Main St
Freeport, NY 11520
Phone (516) 623-5076
3 N Main St
Fl 2
Freeport, NY 11520
Phone (718) 464-6700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDHHBA/Endpoint/DDHHBA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Freeport, NY
- NPI 1306203609
-
- Nephrology Physician
- Freeport, NY
- NPI 1992383319
-
- Pediatric Orthopaedic Surgery Physician
- Far Rockaway, NY
- NPI 1609095280
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1720077944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37216",
"city": "ELMONT",
"state": "NY",
"postal_code": "110037216",
"telephone_number": "516-623-5076",
"fax_number": "516-623-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 N MAIN ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115202218",
"telephone_number": "516-623-5076",
"fax_number": "516-623-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJA-ONU",
"first_name": "IHEANYICHUKWU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "203413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.