Individual provider Active NPI

Iheanyichukwu Godfrey Enwere

  • Registered Nurse
  • West Hempstead, NY
National Provider Identifier
1912573098
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
652069 Issued in NY
Practice address
938 Derrick Adkins LN
West Hempstead, NY 11552-3914
Phone
(646) 242-5440
NPI assigned
May 31, 2021
Last updated
May 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 652069 NY Primary

Addresses

Primary practice location

938 Derrick Adkins LN
West Hempstead, NY 11552-3914

Mailing address

938 Derrick Adkins LN
West Hempstead, NY 11552-3914
Phone (646) 242-5440

Other identifiers 1

IdentifierTypeStateIssuer
660374570MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL godfreyenwere@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
652069NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Giuce Enterprises Inc. CurrentSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1912573098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 DERRICK ADKINS LN",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523914",
            "telephone_number": "646-242-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 DERRICK ADKINS LN",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523914",
            "telephone_number": "646-242-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWERE",
        "first_name": "IHEANYICHUKWU",
        "middle_name": "GODFREY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "652069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660374570",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "godfreyenwere@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Health care provider",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "938 Derrick Adkins Ln",
            "city": "West Hempstead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115523914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.