Ugochi Lovina Anyanwu, NP
Individual provider Active NPI Nurse Practitioner · New York, NY
NPI 1992084875 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1992084875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00320400 (NJ)
- Practice address
- 75 Broad St RM 815
New York, NY 10004-3233 - Phone
- (718) 391-0611
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230810002860 | NJ | Order and Referring Only - Nurse Practitioner | 4587940440 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00320400 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Home Doctor, LLC | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- ms_uanyanwu@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305257 | NY | |
| Nurse Practitioner | 363L00000X | 26NJ00320400 | NJ | Yes |
Addresses
Primary practice location
75 Broad St RM 815
New York, NY 10004-3233
Mailing address
50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12250571 | Other | NY | CAQH |
Other names
- Ms. Ugochi Lovina Oparah
Other providers in New York, NY
- Sandra Anwiset
- Anya, LLC
- Kwame Anyane-Yeboa
- Anelechi Chinedu Anyanwu
- Nnaemeka Justin Anyanwu
- Henry Anyimadu
- Anyma Transit Inc
- Isao Anzai
- Nicole Anzai
- Yuzuru Anzai
All providers in New York, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.