Individual provider Active NPI

Khadijat M Ige, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1801390422
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339674 Issued in NY
Practice address
1434 Williamsbridge Rd
Bronx, NY 10461-2507
Phone
(718) 597-1434
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339674 NY Primary

Addresses

Primary practice location

1434 Williamsbridge Rd
Bronx, NY 10461-2507

Mailing address

1434 Williamsbridge Rd
Bronx, NY 10461-2507
Phone (718) 597-1434

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
I20190917000142 NY Practitioner - Nurse Practitioner 3779812797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Essen Medical Urgicare, PLLCGroup PAC ID 4385960897, 60 clinicians

Practice addresses (Care Compare)

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

30 Glen Cove Rd
Suite 1
Greenvale, NY 11548-1060
Phone (516) 531-6122

8989 Union Tpke
Glendale, NY 11385-8010
Phone (718) 847-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339674NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 29, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jul 29, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 29, 2019 Accepting new patients

Locations

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

1434 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 597-1434

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

256 Ainslie St
Brooklyn, NY 11211
Phone (917) 909-1786

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

Networks

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

Interoperability endpoints

  • Direct secure messaging: khadijat.ige@ema.eclinicaldirectplus.com
  • Direct secure messaging: khadijat.ige.1@24989.direct.athenahealth.com

Organizations & group practices 4

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1801390422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-597-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-597-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGE",
        "first_name": "KHADIJAT",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.