Active NPI
Ngozi Ezinkwo, LPN
- Licensed Practical Nurse
- Rochester, NY
National Provider Identifier
1972740074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 276189
- Practice address
- 63 Galway Drive
Rochester, NY 14623 - Phone
- (585) 486-4200
- NPI assigned
- Jan 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 276189 | NY | Primary |
Addresses
Primary practice location
63 Galway Drive
Rochester, NY 14623
Mailing address
63 Galway Drive
Rochester, NY 14623
Phone (585) 486-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00276189 | Medicaid | NY |
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": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231718400000",
"number": "1972740074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GALWAY DRIVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14623",
"telephone_number": "585-486-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 GALWAY DRIVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14623",
"telephone_number": "585-486-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZINKWO",
"first_name": "NGOZI",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "276189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00276189",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
- Eye Physicians and Surgeons of Western New York PLLC
- Eye Physicians and Surgeons of Western New York PLLC
- Eye Physicians and Surgeons of Western New York PLLC
- Eyemart Express LLC
- Peter Schmitt Eyermann, MD
- Crystal Lynn Ezman, LMT, GN
- Margaret Ezzezew, RN
- F S Rochester Inc
- F. Ross Baxter, MD PLLC
- Joan Faben, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.