MR. GODWIN OKPOMO SR. (NPI# 1043696750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043696750 |
| Entity Type | Individual |
| Full Name | MR. GODWIN OKPOMO SR. |
| Other Name | DR. KINGSLEY NWOKEJI |
| Credential | NP |
| Practice Address |
2962 Wickham Ave Bronx NY 10469-3324 |
| Practice Telephone | 6463840252 |
| Mailing Telephone | 6463840252 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401152-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2962 WICKHAM AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10469-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093178428 | Victory Np In Psychiatry, PC | Nurse Practitioner | 2962 Wickham Ave, Bronx, NY 10469-3324 | 2016-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734355 | Ruth Alexandra Ayure-ortiz | Nurse Practitioner | 1832 Hone Ave, Bronx, NY 10461-1407 | 2020-06-11 |
| 1578187910 | Different Approach Therapy Inc. | Nurse Practitioner | 2727 Henry Hudson Pkwy Apt 208, Bronx, NY 10463-4740 | 2020-06-02 |
| 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 |
| 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 |
| 1578875290 | Sarah W Delaney | Nurse Practitioner | 555 Bergen Ave, Bronx, NY 10455 | 2010-07-10 |
| Find all providers in BRONX | ||||
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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.