MR. NNACHI O MBA


Address: 1276 Fulton Ave, Bronx, NY 10456-3402
Phone: 7189018825

MR. NNACHI O MBA (NPI# 1649838996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649838996
Entity Type Individual
Full Name MR. NNACHI O MBA
Credential NP
Practice Address 1276 Fulton Ave
Bronx
NY 10456-3402
Mailing Address 1700 Harrison Ave Apt 1d
Bronx
NY 10453-7090
Practice Telephone 7189018825
Mailing Telephone 3473074644
Enumeration Date 2019-06-02
Last Update Date 2019-06-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402602 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1276 FULTON AVE
City BRONX
State NY
Zip Code 10456-3402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881672038 John Douglas Reich Family Medicine 1276 Fulton Ave, 4th Floor, Bronx, NY 10456-3402 2006-01-06
1487265468 Mohamed Abdullah Abofaye Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2020-08-12
1144842071 Bhargava Suved Chitti Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2020-05-14
1578198875 Eric Garrels Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2020-03-06
1801428222 Bronxcare Health System Clinic/Center 1276 Fulton Ave, Bronx, NY 10456-3402 2020-02-05
1447814629 Elfy Payero Gonzalez Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2019-04-23
1912480500 Shana Grover Psychologist 1276 Fulton Ave, Bronx, NY 10456-3402 2018-09-11
1417436866 Bushra Abdullah Dakhilallah Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-08-07
1851886295 Sarah Ariana Albert Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-28
1942795356 Luz Maria Quezada Silva Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3499 2018-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336778281 Danielle O'reggio Nurse Practicioner In Family Health P.C. Nurse Practitioner 1200 Webster Ave., Bronx, NY 10456 2020-04-03
1326678111 New York Dialysis Services, Inc Clinic/Center 794 St Anns Ave, Bronx, NY 10456 2020-01-21
1174163430 Emmanuel Guzman Speech-Language Pathologist 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 2020-01-14
1154988194 Arun George Prasad Student in an Organized Health Care Education/Training Program 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 2019-05-24
1619431574 Soroush Pakniyat-jahromi Student in an Organized Health Care Education/Training Program 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 2019-01-24
1548745078 Danielle Renee O'reggio Nurse Practitioner 1210 Webster Ave, Bronx, NY 10456 2018-10-01
1154830537 Renee Lucette Mills Counselor 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 2017-09-28
1487177572 Webster Urgent Care, P.C. Clinic/Center 1210 Webster Avenue, Bronx, NY 10456 2017-07-20
1508395864 Cheryl Roxann Camp Counselor 530 East 169th Street, Apt. 10e, Bronx, NY 10456 2017-06-08
1336683465 Lorraine Dukes Health Educator 778 Forest Ave., P17x, Bronx, NY 10456 2016-12-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1023644218 Canaan Medical LLC Nurse Practitioner 661 Cauldwell Ave, Bronx, NY 10455-1503 2020-03-19
1790332500 Shakiya Mussington Nurse Practitioner 3446 Wickham Ave, Bronx, NY 10469-2629 2019-08-26
1376020065 Clara Ampem-darko Nurse Practitioner 748 Jackson Ave Apt 3b, Bronx, NY 10456-7918 2018-07-25
1174071740 Philippe K. Z. Bah Nurse Practitioner 2700 Hering Ave, Bronx, NY 10469-5321 2016-09-13
1275905994 Reagan Obiozor Anusionwu Np Psychiatry Pllc Nurse Practitioner 548 Throgs Neck Expwy, Bronx, NY 10465 2015-10-21
1043696750 Godwin Okpomo Sr. Nurse Practitioner 2962 Wickham Ave, Bronx, NY 10469-3324 2015-08-04
1306187059 Patrick Akobeh Tigenoah Nurse Practitioner 739 E 242nd St, Apartment 4b, Bronx, NY 10470-1284 2013-03-05
1578850665 Briana Tiffany Morrison Nurse Practitioner 3 Fordham Hill Oval, Apt # 7c, Bronx, NY 10468-4708 2011-07-08
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Competitor

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City BRONX
Zip Code 10456

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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