Individual provider Active NPI

Ifeoma M Okoronkwo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1861580391
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
201367 Issued in NY
Practice address
300 E 56TH St
New York, NY 10022-4136
Phone
(212) 935-9350
Fax
(212) 753-9856
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 201367 NY Primary

Addresses

Primary practice location

300 E 56TH St
New York, NY 10022-4136

Mailing address

300 E 56TH St
New York, NY 10022-4136
Phone (212) 935-9350

Other identifiers 1

IdentifierTypeStateIssuer
01989073MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000357 NY Practitioner - Physical Medicine and Rehabilitation 3375675663 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
JS Weill Medical College, Cornell University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 E 56TH St
New York, NY 10022-4136
Phone (212) 935-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Dr. O Method of Physical Medicine, PLLC Physical Medicine & Rehabilitation Current Accepting new patients
RPM Physical Therapy PLLC PastSince Jul 25, 2021 Accepting new patients
Murray Hill Medical Group PC PastSince Jun 1, 1992 Accepting new patients

Locations

300 E 56th St
New York, NY 10022
Phone (212) 688-2016

300 E 56th St
Ofc
New York, NY 10022

300 E 56th St
Ofc Office
New York, NY 10022
Phone (212) 688-2016

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1861580391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224136",
            "telephone_number": "212-935-9350",
            "fax_number": "212-753-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224136",
            "telephone_number": "212-935-9350",
            "fax_number": "212-753-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORONKWO",
        "first_name": "IFEOMA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "201367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01989073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.