Individual provider Active NPI

Hope Eseoghene Okoroh, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Arverne, NY
National Provider Identifier
1801955661
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403028 Issued in NY
Practice address
124 Beach 59TH St
Arverne, NY 11692-1872
Phone
(917) 940-2405
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 558715 NY
Family Nurse Practitioner 363LF0000X F341486 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403028 NY Primary

Addresses

Primary practice location

124 Beach 59TH St
Arverne, NY 11692-1872

Mailing address

3925 Wittenburg Dr
McKinney, TX 75071-1654
Phone (917) 940-2405

Other names 1

  • Hope Eseoghene Okoroh Professional name

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
I20220829003113 NY Practitioner - Nurse Practitioner 8325388622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
East Point Medical PCGroup PAC ID 0749690741, 24 clinicians

Practice addresses (Care Compare)

7116 Grand Ave
Maspeth, NY 11378-1823
Phone (718) 307-1577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
558715NYMDRegistered Nurse
F341486NYMDFamily Nurse Practitioner
F403028NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Point Medical PC Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Good Health Psychiatric Services PC Past Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Networks

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

Organizations & group practices 3

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1801955661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 WITTENBURG DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750711654",
            "telephone_number": "917-940-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BEACH 59TH ST",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921872",
            "telephone_number": "917-940-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOROH",
        "first_name": "HOPE",
        "middle_name": "ESEOGHENE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "558715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "OKOROH",
            "middle_name": "ESEOGHENE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arverne, NY

Sources for this page

Verify at the official NPI Registry.