Healthcare Provider Details

I. General information

NPI: 1790693588
Provider Name (Legal Business Name): CHINAZO E. ECHEZONA-JOHNSON DNP, ED.D,MSN,RNC-MN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 FAIRFIELD AVE APT 4D
BRONX NY
10463-3317
US

IV. Provider business mailing address

3050 FAIRFIELD AVE
BRONX NY
10463-3314
US

V. Phone/Fax

Practice location:
  • Phone: 347-742-4114
  • Fax:
Mailing address:
  • Phone: 347-742-4114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number453179
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: