Organization Active NPI

H & O Family and Adult Health Nurse Practitioner PLLC

Doing business as H & O Clinical

  • Psychiatric/Mental Health Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1932776952
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
H & O FAMILY AND ADULT HEALTH NURSE PRACTITIONER PLLC
Doing business as
H & O Clinical
Practice address
2025 Central Park Ave Ste 203
Yonkers, NY 10710-2427
Phone
(315) 610-6702
Fax
(315) 610-6702
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Henry Ibitokun, APN, NPNPI 1194109744
Title
Nurse Practitoner
Phone
(908) 279-5785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2025 Central Park Ave Ste 203
Yonkers, NY 10710-2427

Mailing address

2025 Central Park Ave Ste 203
Yonkers, NY 10710-2427
Phone (315) 610-6702

Other practice location 1

100 N Howard Street Ste W
Spokane, WA 99201-1252
Phone (315) 610-6702

Other practice location 2

88 Roosevelt Ave Apt 105
Carteret, NJ 07008-2583
Phone (908) 279-5785

Other practice location 3

10 North Wood Ave
Suite B2
Linden, NJ 07036-5200
Phone (315) 610-6702

Other names 1

  • H & O CLINICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, WA, CT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20211201000579 NY Part B Supplier - Clinic/Group Practice 4981094216 Receives reassigned benefits from 2 practitioners
Practice locations: Yonkers, NY
O20211209001766 NJ Part B Supplier - Clinic/Group Practice 4981094216 Receives reassigned benefits from 2 practitioners
Practice locations: Linden, NJ
O20240226001193 WA Part B Supplier - Clinic/Group Practice 4981094216 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA
O20241014001933 CT Part B Supplier - Clinic/Group Practice 4981094216 Receives reassigned benefits from 1 practitioner
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

2095 S Main St
Ste 9B
Waterbury, CT 06706
Phone (315) 610-6702

2025 Central Park Ave
Yonkers, NY 10710
Phone (914) 395-3290

2025 Central Park Ave
Ste 203
Yonkers, NY 10710
Phone (315) 610-6702

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1932776952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 CENTRAL PARK AVE STE 203",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102427",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 CENTRAL PARK AVE STE 203",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102427",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard Street Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992011252",
            "country_code": "US",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Roosevelt Ave Apt 105",
            "address_purpose": "LOCATION",
            "city": "Carteret",
            "state": "NJ",
            "postal_code": "070082583",
            "country_code": "US",
            "telephone_number": "908-279-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 North Wood Ave",
            "address_2": "Suite B2",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070365200",
            "country_code": "US",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "H & O FAMILY AND ADULT HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "IBITOKUN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "NURSE PRACTITONER",
        "authorized_official_telephone_number": "908-279-5785",
        "authorized_official_credential": "APN, NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H & O CLINICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.