Individual provider Active NPI

Adanze Aguwa, MD

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1902052848
Registry record updated Aug 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
274508-1 Issued in NY
Practice address
1 Halleck St
Bronx, NY 10474-7085
Phone
(347) 774-7359
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1377739 MI
Internal Medicine Physician 207R00000X L1377740 MI
Student in an Organized Health Care Education/Training Program 390200000X 0116021876 VA
General Practice Physician 208D00000X 274508-1 NY Primary

Addresses

Primary practice location

1 Halleck St
Bronx, NY 10474-7085

Mailing address

16 Brookwood Dr
Maplewood, NJ 07040-1905
Phone (862) 250-1352

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
I20180406001967 NY Practitioner - General Practice 2062775935 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L1377739MIMDInternal Medicine Physician
L1377740MIMDInternal Medicine Physician
274508-1NYMDGeneral Practice Physician
0116021876VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Startcare, Inc. CurrentSince Feb 3, 2021 Accepting new patients
Start Treatment & Recovery Centers Inc Current Accepting new patients
Startcare, Inc. CurrentSince Feb 3, 2021 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Sep 1, 2021 Accepting new patients
Essen Medical Associates,PC CurrentSince Mar 1, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2018 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

937 Fulton St
Brooklyn, NY 11238
Phone (718) 260-2900

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: aaguwa886997@ahs.direct-ci.com

Organizations & group practices 8

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1902052848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BROOKWOOD DR",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401905",
            "telephone_number": "862-250-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HALLECK ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104747085",
            "telephone_number": "347-774-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUWA",
        "first_name": "ADANZE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L1377739",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L1377740",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116021876",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "274508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.