Individual provider Active NPI

Akuchinyere C Ikem

  • Psychiatric/Mental Health Nurse Practitioner
  • East Meadow, NY
National Provider Identifier
1790633303
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F408229-01 Issued in NY
Practice address
1756 Franklin Ave
East Meadow, NY 11554-2920
Phone
(424) 221-3338
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X F408229-01 NY Primary

Addresses

Primary practice location

1756 Franklin Ave
East Meadow, NY 11554-2920

Mailing address

1756 Franklin Ave
East Meadow, NY 11554-2920
Phone (424) 221-3338

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
I20260427000157 NY Practitioner - Nurse Practitioner 2860969920 Practice locations: East Meadow, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

East Meadow, NY 11554
Phone (424) 221-3338

1400 Wantagh Ave
Suite 202
Wantagh, NY 11793-2210

1756 Franklin Ave
East Meadow, NY 11554-2920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F408229-01NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1790633303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 FRANKLIN AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542920",
            "telephone_number": "424-221-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 FRANKLIN AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542920",
            "telephone_number": "424-221-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEM",
        "first_name": "AKUCHINYERE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F408229-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.