Individual provider Active NPI

Evelyn C Alogu, ASN

  • Primary Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1942682992
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
10 Rockwell Ave
Apt 3B
Staten Island, NY 10305-1609
Phone
(347) 820-4826
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10 Rockwell Ave
Apt 3B
Staten Island, NY 10305-1609

Mailing address

10 Rockwell Ave
Apt 3B
Staten Island, NY 10305-1609
Phone (347) 820-4826

Other identifiers 1

IdentifierTypeStateIssuer
17865305OtherNYHIP PRIME

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

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1942682992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROCKWELL AVE",
            "address_2": "APT 3B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051609",
            "telephone_number": "347-820-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROCKWELL AVE",
            "address_2": "APT 3B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051609",
            "telephone_number": "347-820-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOGU",
        "first_name": "EVELYN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ASN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PRIME",
            "identifier": "17865305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.