Obot Asuquo Obot, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401817 Issued in NY

Practice address

20 Reed St
Lockport, NY 14094-3901

Phone

(716) 439-6375

Fax

(716) 439-6375

NPI assigned

May 21, 2010

Sex

Male

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: obot.obot@3593.securemail.prognocis.com

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.

• Woodbridge Nurse Practitioner in Psychiatry PLLC

  dba Woodbridge Psychiatry

  • Adult Mental Health Clinic/Center
  • Lockport, NY
  • NPI 1780168732
  Medicare reassignment NPD Authorized official
• Brylin Hospitals, Inc.

  • Psychiatric Hospital
  • Buffalo, NY
  • NPI 1588096382
  Medicare reassignment NPD
• The Dale Association, Inc.

  • Mental Health Counselor
  • North Tonawanda, NY
  • NPI 1962407783
  Medicare reassignment NPD
• Brylin Hospitals, Inc.

  • Clinical Psychologist
  • Williamsville, NY
  • NPI 1528400249
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425081600000",
    "number": "1861711467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 REED ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943901",
            "telephone_number": "716-439-6375",
            "fax_number": "716-439-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 REED ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943901",
            "telephone_number": "716-439-6375",
            "fax_number": "716-439-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBOT",
        "first_name": "OBOT",
        "middle_name": "ASUQUO",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2015-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "22603954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Nye
• Kimberly Ann Nye, LMT
• Andrea M O'Connor, MS.SPEDU/ASL
• Kimberly A O'Dell, MSED
• Jillian Allessi O'Donnell, M.S. CCC/SLP
• Odd Fellow and Rebekah Rehabilitation and Health Care Center
• Heather Watt Odum, LMHC
• Katherine Ann Olson, PHARMD
• Emma Ormsby, OTR/L
• Judith Anne Ornella

• Psychiatric/Mental Health Nurse Practitioner in Lockport, NY
• Providers in Lockport, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.