Individual provider Active NPI

Ebere Q Omeke, PHLEBOTOMIST

  • Phlebotomy Technician
  • Mount Vernon, NY
National Provider Identifier
1811664618
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
111 N 3Rd Ave Apt 4V
Mount Vernon, NY 10550-1376
Phone
(347) 741-4074
Fax
(212) 658-9990
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

111 N 3Rd Ave Apt 4V
Mount Vernon, NY 10550-1376

Mailing address

111 N 3Rd Ave Apt 4V
Mount Vernon, NY 10550-1376
Phone (347) 741-4074

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL info@n3mobilestick.com Other
Other URL Mobile Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
N3 Global LLC CurrentSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1811664618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 3RD AVE APT 4V",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501376",
            "telephone_number": "347-741-4074",
            "fax_number": "212-658-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 3RD AVE APT 4V",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501376",
            "telephone_number": "347-741-4074",
            "fax_number": "212-658-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEKE",
        "first_name": "EBERE",
        "middle_name": "Q",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@n3mobilestick.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Mobile",
            "address_1": "111 N 3rd Ave Apt 4V",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105501376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mobile",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "mobile",
            "address_1": "111 N 3rd Ave Apt 4V",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105501376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.