Active NPI
Ifeanyi Eunice Maduegbuna, RN
- Registered Nurse
- Mohegan Lake, NY
National Provider Identifier
1770923971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 668538-1
- Practice address
- 1714 Emma LN
Mohegan Lake, NY 10547-1067 - Phone
- (914) 953-5301
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 668538-1 | NY | Primary |
Addresses
Primary practice location
1714 Emma LN
Mohegan Lake, NY 10547-1067
Mailing address
1714 Emma LN
Mohegan Lake, NY 10547-1067
Phone (914) 953-5301
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 668538-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1770923971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 EMMA LN",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471067",
"telephone_number": "914-953-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 EMMA LN",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471067",
"telephone_number": "914-953-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADUEGBUNA",
"first_name": "IFEANYI",
"middle_name": "EUNICE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "668538-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mohegan Lake, NY
- Teresa Lee, DOCTOR OF PHARMACY
- Sanja Levchik, O.D.
- Little Love Lactation, LLC
- Living Resources Corporation
- Lynn Culbertson Physical Therapy PLLC
- Angel Salvador Maita-Zapata, PHYSICIAN ASSISTANT
- Christina Ann Marcley, MA CCC-SLP
- Patricia Ann Marcus, PT
- Wanda Esperanza Mejia, DDS
- Nancy Messenger, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.