Healthcare Provider Details

I. General information

NPI: 1083104566
Provider Name (Legal Business Name): JOSHUA ONONUJU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 W 26TH ST
NEW YORK NY
10001-6975
US

IV. Provider business mailing address

160 W 26TH ST
NEW YORK NY
10001-6975
US

V. Phone/Fax

Practice location:
  • Phone: 212-924-2510
  • Fax: 212-812-3800
Mailing address:
  • Phone: 212-924-2510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD474793
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number319368
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA12311700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: