Caroline Amenaghawon Ugbogbo, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3043O7 Issued in NY

Practice address

19616 Hillside Ave
Hollis, NY 11423-2125

Phone

(718) 217-6806

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: cau9003@direct.nyp.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821148222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HOPATCONG AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524302",
            "telephone_number": "516-764-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19616 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232125",
            "telephone_number": "718-217-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGBOGBO",
        "first_name": "CAROLINE",
        "middle_name": "AMENAGHAWON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "3043O7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Titus
• Nivash Tiwari
• Robert Maxwell Trager, DDS
• Truecare1 Corporation
• Basmattie Uditsukhu
• Tatiana Uguru, PMHNP
• Udodirim Joy Ukwu, LCSW
• Value Mart Pharmacy Inc.
• Vandana Khurana DPT PC
• Miguel Vargas, M.D.

• Adult Health Nurse Practitioner in Hollis, NY
• Providers in Hollis, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.