Active NPI
Emmanuel Ngulefac Nkengeh, CNP, FNP
- Family Nurse Practitioner
- Gahanna, OH
National Provider Identifier
1801207261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024075
- Practice address
- 313 Marjoram Dr
Gahanna, OH 43230-7027 - Phone
- (301) 300-1183
- NPI assigned
- May 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.387140 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024075 | OH | Primary |
Addresses
Primary practice location
313 Marjoram Dr
Gahanna, OH 43230-7027
Mailing address
313 Marjoram Dr
Gahanna, OH 43230-7027
Phone (301) 300-1183
Other practice location 1
1862 solera dr
columbus, OH 43229
Phone (301) 300-1183
Other names 1
- Emmanuel N/a Nkengeh Ngulefac
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024075 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Recovery Center | Registered Nurse | Current | Accepting new patients |
| Alpha Recovery Center | Past | Accepting new patients |
Locations
3805 N High St
Ste 307
Columbus, OH 43214
Phone (614) 897-9252
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.
-
- Registered Nurse
- Columbus, OH
- NPI 1639771975
-
- Addiction Medicine (Family Medicine) Physician
- Columbus, OH
- NPI 1679400337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1801207261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 MARJORAM DR",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432307027",
"telephone_number": "301-300-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MARJORAM DR",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432307027",
"telephone_number": "301-300-1183"
}
],
"practiceLocations": [
{
"address_1": "1862 solera dr",
"address_purpose": "LOCATION",
"city": "columbus",
"state": "OH",
"postal_code": "43229",
"country_code": "US",
"telephone_number": "301-300-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKENGEH",
"first_name": "EMMANUEL",
"middle_name": "NGULEFAC",
"credential": "CNP, FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.387140",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMANUEL",
"last_name": "NKENGEH NGULEFAC",
"middle_name": "N/A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.