Individual provider Active NPI

Joke Irene Bamgbopa, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1992029367
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340972 Issued in NY
Practice address
1371 Seabury Ave
Bronx, NY 10461-3651
Phone
(718) 618-0401
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 609103 NY
Family Nurse Practitioner 363LF0000X F340972 NY Primary

Addresses

Primary practice location

1371 Seabury Ave
Bronx, NY 10461-3651

Mailing address

1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 618-0401

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
I20220301002353 NY Practitioner - Nurse Practitioner 2567856982 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
609103NYMDRegistered Nurse
F340972NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates,PC CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

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

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

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

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

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

Organizations & group practices 6

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1992029367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SEABURY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613651",
            "telephone_number": "718-618-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 SEABURY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613651",
            "telephone_number": "718-618-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMGBOPA",
        "first_name": "JOKE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "609103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.