Individual provider Active NPI

Ezinwanne Vanessa Okafor

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1780377010
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311361 Issued in NY
Practice address
3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773
Phone
(718) 819-1644
Fax
(718) 587-1341
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 311361 NY
Adult Health Nurse Practitioner 363LA2200X 311361 NY Primary

Addresses

Primary practice location

3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773

Mailing address

355 Grand St
Jersey City, NJ 07302-4321

Other practice location 1

391 E 149th St Ste 403
Bronx, NY 10455-3907
Phone (718) 819-6144

Other practice location 2

355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 536-6683

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115002741 NY Practitioner - Nurse Practitioner 8123481835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gamss Health Urgent Medicine PCGroup PAC ID 4587199237, 10 clinicians

Practice addresses (Care Compare)

3611 14TH Ave
Suite 550
Brooklyn, NY 11218-3773
Phone (718) 819-6144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311361NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 7, 2023 Accepting new patients
Gamss Health Urgent Medicine PC CurrentSince Oct 14, 2024 Accepting new patients
464 Bay Ridge Medical PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

391 E 149th St
Ste 403
Bronx, NY 10455
Phone (718) 819-6144

464 Bay Ridge Ave
Ste B
Brooklyn, NY 11220
Phone (347) 801-2542

3611 14th Ave
Ste 550
Brooklyn, NY 11218
Phone (718) 819-6144

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1780377010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 550",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183773",
            "telephone_number": "718-819-1644",
            "fax_number": "718-587-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 E 149th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104553907",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Grand St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073024321",
            "country_code": "US",
            "telephone_number": "201-536-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "EZINWANNE",
        "middle_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "311361",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.