Individual provider Active NPI

Rose Obiageli Igbo-Awe, N.P-C

  • Adult Health Nurse Practitioner
  • Great Neck, NY
National Provider Identifier
1972999589
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306702-1 Issued in NY
Practice address
833 Northern Blvd
Great Neck, NY 11021-5315
Phone
(516) 622-7944
Fax
(516) 622-7957
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306702-1 NY Primary

Addresses

Primary practice location

833 Northern Blvd
Great Neck, NY 11021-5315

Mailing address

32 Clearview Dr
Wheatley Heights, NY 11798-1013
Phone (718) 866-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001260 NY Practitioner - Nurse Practitioner 4587962477 Reassigns benefits to 5 organizations
Practice locations: Wheatley Heights, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

833 Northern Blvd
Suite 220
Great Neck, NY 11021-5339
Phone (516) 622-7910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306702NYMDLicensed Practical Nurse
F306702-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 7, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 19, 2016 Accepting new patients
Acorn NP in Adult Health Services PLLC Adult Health CurrentSince May 26, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 7, 2018 Accepting new patients
Matrix Medical of New York PC CurrentSince Mar 20, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince Feb 7, 2018 Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

833 Northern Blvd
Ste 220
Great Neck, NY 11021
Phone (516) 622-7900

833 Northern Blvd
Great Neck, NY 11021
Phone (516) 288-3400

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

300 Community Dr
Plandome, NY 11030

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1972999589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CLEARVIEW DR",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981013",
            "telephone_number": "718-866-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215315",
            "telephone_number": "516-622-7944",
            "fax_number": "516-622-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBO-AWE",
        "first_name": "ROSE",
        "middle_name": "OBIAGELI",
        "credential": "N.P-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306702-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.