Healthcare Provider Details

I. General information

NPI: 1922536499
Provider Name (Legal Business Name): IJEOMA OGECHI NWAEKPE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E 241ST ST
BRONX NY
10470-1303
US

IV. Provider business mailing address

1056 E 215TH ST
BRONX NY
10469-1307
US

V. Phone/Fax

Practice location:
  • Phone: 718-671-2100
  • Fax:
Mailing address:
  • Phone: 347-449-5360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number762425
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number327011
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: