Active NPI
Grace Nwamaka Ejinkonye
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1912281593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 296209-1
- Practice address
- 3000 Ocean Pkwy
#3F
Brooklyn, NY 11235-8374 - Phone
- (718) 324-3013
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 296209-1 | NY | Primary |
Addresses
Primary practice location
3000 Ocean Pkwy
#3F
Brooklyn, NY 11235-8374
Mailing address
3000 Ocean Pkwy
#3F
Brooklyn, NY 11235-8374
Phone (718) 324-3013
Other names 1
- None None Don,T Have
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296209-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1912281593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 OCEAN PKWY",
"address_2": "#3F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358374",
"telephone_number": "718-324-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 OCEAN PKWY",
"address_2": "#3F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358374",
"telephone_number": "718-324-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJINKONYE",
"first_name": "GRACE",
"middle_name": "NWAMAKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "296209-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NONE",
"last_name": "DON,T HAVE",
"middle_name": "NONE",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.