Individual provider Active NPI

Roselyn Nwabugo Akukalia

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1730898222
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P110527 Issued in NY
Practice address
529 Beach 20TH St Ste 2
Far Rockaway, NY 11691-3615
Phone
(718) 327-7307
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P110527 NY Primary

Addresses

Primary practice location

529 Beach 20TH St Ste 2
Far Rockaway, NY 11691-3615

Mailing address

529 Beach 20TH St Ste 2
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

Other names 1

  • Roselyn Nwabugo Okwamba Former name

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

LicenseStateTypeSpecialty
P110527NYMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: rakukalia803477@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1730898222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST STE 2",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913615",
            "telephone_number": "718-327-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST STE 2",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913615",
            "telephone_number": "718-327-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUKALIA",
        "first_name": "ROSELYN",
        "middle_name": "NWABUGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P110527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSELYN",
            "last_name": "OKWAMBA",
            "middle_name": "NWABUGO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.