Kennedy C Onyenwe, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F40297701 Issued in NY

Practice address

150 Woodbine Ave
Staten Island, NY 10314-1834

Phone

(347) 750-9479

NPI assigned

Dec 23, 2019

Sex

Male

Sole proprietor

Yes

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.

• Ojso LLC

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1467272161

  NY, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Healthcare Wellness NP in Family Health PLLC

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1790669893

  NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1841536554

  NY

  Medicare reassignment NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1649516352
  NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1649837113
  NPD
• United Cerebral Palsy Associations of New York State, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1366507758
  NPD

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ojso LLC 2 clinicians

Practice addresses (Care Compare)

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles (6 of 10)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2022.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1760021604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WOODBINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141834",
            "telephone_number": "347-750-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WOODBINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141834",
            "telephone_number": "347-750-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYENWE",
        "first_name": "KENNEDY",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "598591",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F40297701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onsite Imaging
• Adebusola Onwuemene, NP
• Vincent James Onwuemene, NP
• Buffy Onyeche
• Chukwuemeka Onyedika, M.D.
• Sarah Musu Onyenwe, NP
• Ifeoma C Onyenwena
• Janet Ulunma Onyenwena, NURSE PRACTITIONER
• Sharr Let Oo
• Benedicta Opara

• All providers in Staten Island, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.

Verify at the official NPI Registry.