Grace N. Otugh

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

311539 Issued in NY

Practice address

319 Hempstead Ave
West Hempstead, NY 11552-2042

Phone

(516) 743-9233

NPI assigned

Jan 25, 2024

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

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

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: gotugh301479@nyumc.direct-ci.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.

• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1871355719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522042",
            "telephone_number": "516-742-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522042",
            "telephone_number": "516-743-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUGH",
        "first_name": "GRACE",
        "middle_name": "N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feyisola Olafuyi
• Olive Tree RX Pharmacy Corp.
• On Call Medical Care PC
• Orna Melamed,OT,PLLC
• Ortho-Pro Biomechanics Group, Inc.
• Michael Ifeanyi Otugh, NP
• Loren Packer-Hopke, MS
• Donald James Pagnotta, MSPT
• Rachel Mi Pallas, MS OTR
• Parent Information Exchange

• Adult Health Nurse Practitioner in West Hempstead, NY
• Providers in West Hempstead, 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 Jan 25, 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.