Individual provider Active NPI

Akunesokwu U Obiora, RN, NP

  • Registered Nurse
  • Elmont, NY
National Provider Identifier
1790009462
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
668273 Issued in NY
Practice address
94 Silver Street
Elmont, NY 11003-3934
Phone
(516) 792-6194
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 668273 NY Primary

Addresses

Primary practice location

94 Silver Street
Elmont, NY 11003-3934

Mailing address

94 Silver St
Elmont, NY 11003-3621
Phone (516) 792-6194

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
I20210512000920 NY Practitioner - Nurse Practitioner 3072922673 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
668273NYMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Hospice CurrentSince Feb 9, 2021 Accepting new patients
MJHS Medical Associates CurrentSince Oct 4, 2021 Accepting new patients

Locations

110 Bi County Blvd
Ste 114
Farmingdale, NY 11735
Phone (631) 465-6300

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

Organizations & group practices 2

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1790009462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SILVER ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033621",
            "telephone_number": "516-792-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 SILVER STREET",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033934",
            "telephone_number": "516-792-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIORA",
        "first_name": "AKUNESOKWU",
        "middle_name": "U",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "668273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.