Organization Active NPI

Usukumah E. Usukumah Medical, PLLC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1891921383
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
USUKUMAH E. USUKUMAH MEDICAL, PLLC
Practice address
478 Halsey St
Brooklyn, NY 11233-1002
Phone
(718) 602-3788
Fax
(718) 552-2411
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Usukumah E Usukumah, M.D.
Title
Obstetrics & Gynecology
Phone
(718) 602-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

478 Halsey St
Brooklyn, NY 11233-1002

Mailing address

560 Halsey St
Brooklyn, NY 11233-4376
Phone (718) 602-3788

National Provider Directory

National Provider Directory

Locations

478 Halsey St
Brooklyn, NY 11233
Phone (718) 452-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1891921383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HALSEY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334376",
            "telephone_number": "718-602-3788",
            "fax_number": "718-552-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 HALSEY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331002",
            "telephone_number": "718-602-3788",
            "fax_number": "718-552-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USUKUMAH E. USUKUMAH MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "USUKUMAH",
        "authorized_official_first_name": "USUKUMAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OBSTETRICS & GYNECOLOGY",
        "authorized_official_telephone_number": "718-602-3788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.