Maureen Chukwumuanya Agoha, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336234 Issued in NY

Practice address

266 Bryant Ave Apt a
Padwe Office
White Plains, NY 10605-2110

Phone

(845) 499-5033

Fax

(914) 948-8032

NPI assigned

Mar 1, 2012

Sex

Female

Sole proprietor

No

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

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912

  NY

  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985
  NPD

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1891069357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 BRYANT AVE APT A",
            "address_2": "PADWE OFFICE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052110",
            "telephone_number": "845-499-5033",
            "fax_number": "914-948-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 BRYANT AVE APT A",
            "address_2": "PADWE OFFICE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052110",
            "telephone_number": "845-499-5033",
            "fax_number": "914-948-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOHA",
        "first_name": "MAUREEN",
        "middle_name": "CHUKWUMUANYA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G. Aftergood, M.D.
• Prince Afum
• Smita Agarkar, M.D.
• Ageless Men'S Health PC
• Aging Matters Psychological Services, PC
• Jenna L Agostinelli, FNP
• Maria Noelia Aguero, MS, SLP
• Patricia Scordino Ahearn, MPT, MTC
• Nasrin Ahmad
• Shariq Ahmad, M.D.

• All providers in White Plains, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.