Onyedikachukwu K Momah, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA056764 Issued in PA

Practice address

548 Throngs Neck Expressway
Bronx, NY 10465

Phone

(631) 875-4169

Fax

(866) 644-0894

NPI assigned

Mar 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1740606359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 THRONGS NECK EXPRESSWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "631-875-4169",
            "fax_number": "866-644-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 THRONGS NECK EXPRESSWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "631-875-4169",
            "fax_number": "866-644-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Cetronia Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181049147",
            "country_code": "US",
            "telephone_number": "610-973-6200",
            "fax_number": "866-644-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMAH",
        "first_name": "ONYEDIKACHUKWU",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056764",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "122219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Marie Moloney
• Maura Suzanne Moloney, CPNP
• Laura A Moltisanti, PA
• Kristin Snyder Moltz, P.A.
• James A Molyneaux, LMSW
• Momentum Physical & Occupational Therapy, PLLC
• Jayed Jayed Momin, PHARM.D
• Funmilayo Omobola Momoh
• Olusegun Momoh, LPN
• Pourrat Monahemi, MD

• Surgical Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.