Active NPI
George Oseghale Ilenikhena, DDS
- Endodontics
- New York, NY
National Provider Identifier
1851274591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 064879
- Practice address
- 515 Madison Ave RM 715
New York, NY 10022-5465 - Phone
- (212) 355-4444
- NPI assigned
- Jul 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 064879 | NY | Primary |
Addresses
Primary practice location
515 Madison Ave RM 715
New York, NY 10022-5465
Mailing address
25 Park LN S Apt 2405
Jersey City, NJ 07310-3140
Phone (708) 265-1365
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064879 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1851274591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 PARK LN S APT 2405",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073103140",
"telephone_number": "708-265-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MADISON AVE RM 715",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225465",
"telephone_number": "212-355-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILENIKHENA",
"first_name": "GEORGE",
"middle_name": "OSEGHALE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "064879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.