Owen Okonola, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349444 Issued in NY

Practice address

11513 Merrick Blvd
Jamaica, NY 11434-1851

Phone

(718) 558-8998

Fax

(718) 558-8999

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parker Jewish Institute for Health Care and Rehabilitation

  • Skilled Nursing Facility
  • New Hyde Park, NY
  • NPI 1932275427
  Medicare reassignment NPD
• Parker Jewish Institute for Health Care and Rehabilitation

  • Long Term Care Pharmacy
  • New Hyde Park, NY
  • NPI 1306882857
  NPD

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1821356445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13446 156TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343648",
            "telephone_number": "646-633-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341851",
            "telephone_number": "718-558-8998",
            "fax_number": "718-558-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONOLA",
        "first_name": "OWEN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "648706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthonia Okafor, LPN
• Onyinyechi Okeke
• Angela Chinwe Okike, DNP
• Nnemaka Okolo, RN
• Grace Oluwatoyin Okolonji
• Obiageli Okoronkwo-Egwu
• Samuel Ifeanyi Okorozo, PA
• Charles Obum Okoye
• Ashley Chisom Okuagu, DO
• Vetah Beauty Okuomose, RN

• Family Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.