Individual provider Active NPI

Elvis Chukwunonso Uzomah, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1801757174
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358289 Issued in NY
Practice address
260 W 36TH St
New York, NY 10018-7560
Phone
(212) 366-5050
Fax
(212) 366-5050
NPI assigned
Nov 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 358289 NY Primary
Registered Nurse 163W00000X 868973 NY

Addresses

Primary practice location

260 W 36TH St
New York, NY 10018-7560

Mailing address

260 W 36TH St RM 400
New York, NY 10018-8905
Phone (212) 366-5050

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
I20251231001513 NY Practitioner - Nurse Practitioner 9537655303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

341 Eastern Pkwy
Brooklyn, NY 11216-4857
Phone (855) 936-7362

3715 23Rd Ave
Astoria, NY 11105-1993
Phone (855) 936-7362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
868973NYMDRegistered Nurse
358289NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hicksville Family Medical Care, PLLC CurrentSince Dec 29, 2025 Accepting new patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Dec 29, 2025 Accepting new patients
Bestcare, Inc PastSince Nov 30, 2025 Accepting new patients
JPR Urgent Medical Care Past Accepting new patients

Locations

308 Graham Ave
Ste A
Brooklyn, NY 11211

341 Eastern Pkwy
Ste A
Brooklyn, NY 11216

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

412 S Broadway
Hicksville, NY 11801
Phone (516) 938-1550

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": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764201600000",
    "number": "1801757174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W 36TH ST RM 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100188905",
            "telephone_number": "212-366-5050",
            "fax_number": "212-366-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187560",
            "telephone_number": "212-366-5050",
            "fax_number": "212-366-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOMAH",
        "first_name": "ELVIS",
        "middle_name": "CHUKWUNONSO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358289",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "868973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.