DR. KELECHI NGWANGWA (NPI# 1780978452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780978452 |
| Entity Type | Individual |
| Full Name | DR. KELECHI NGWANGWA |
| Credential | M.D. |
| Practice Address |
3414 Church Ave Brooklyn NY 11203-2714 |
| Practice Telephone | 7186302197 |
| Practice Fax Number | 7189402914 |
| Mailing Telephone | 7186302197 |
| Mailing Fax Number | 7189402914 |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2014-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 272211-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3414 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992812317 | Lutheran Medical Center | General Acute Care Hospital | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2006-08-23 |
| 1497379275 | Zev A Kizelnik | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-06-08 |
| 1841819190 | Abraham Kwok | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-04-15 |
| 1407319569 | Keiara Jerai Evans | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2019-04-07 |
| 1306326020 | Ayanna Makoonsingh-clare | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-08-21 |
| 1356836936 | Kimberley Joell Mahoney | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-06-26 |
| 1508272964 | She Zhao | Registered Nurse | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2014-07-07 |
| 1497092274 | Asia Frazier | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2013-01-13 |
| 1710259429 | Stevie Reynolds | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2012-01-27 |
| 1831409861 | Rose C. Ubanwa | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490818 | Bialik Medical Care Pllc | Pediatrics | 144 Mayfair Dr N Fl 1, Brooklyn, NY 11234-6728 | 2019-04-10 |
| 1063983054 | Williamsburg Pediatrics | Pediatrics | 200 Wallabout St Ste 1c, Brooklyn, NY 11206-5561 | 2018-12-17 |
| 1497222137 | Pediatric Care of Newyork PC | Pediatrics | 6805 5th Avenue, Brooklyn, NY 11220-6009 | 2018-10-31 |
| 1316412315 | Zhiyou Zhang Medicine PC | Pediatrics | 8705 19th Ave # 1stf, Brooklyn, NY 11214-3813 | 2018-10-05 |
| 1285141358 | Nie Medical Office PC | Pediatrics | 5508 7th Avenue, 1st Floor, Brooklyn, NY 11220-3508 | 2018-01-10 |
| 1457882276 | Haralambos Damanakis | Pediatrics | 450 Clarkson Ave - Box 49, Brooklyn, NY 11203-2012 | 2017-03-23 |
| 1801327028 | Paul Benjamin King | Pediatrics | 186 Joralemon St Fl 4, Brooklyn, NY 11201-4326 | 2017-03-21 |
| 1205286341 | M Goldis Medical PC | Pediatrics | 103 Quentin Rd Fl 2, Suite D, Brooklyn, NY 11223-1102 | 2016-06-20 |
| 1235599952 | Y. Malina, Md, Faap, P.C. | Pediatrics | 2426 Mermaid Ave Fl 1, Brooklyn, NY 11224-2210 | 2016-02-24 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| Find all providers in BROOKLYN | ||||
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| 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.