GODWIN ONOCHIE MOLOKWU (NPI# 1649325333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649325333 |
| Entity Type | Individual |
| Full Name | GODWIN ONOCHIE MOLOKWU |
| Credential | MD |
| Practice Address |
688 Stuyvesant Ave Irvington NJ 07111 |
| Practice Telephone | 9733511110 |
| Practice Fax Number | 9733519005 |
| Mailing Telephone | 9733511110 |
| Mailing Fax Number | 9733519005 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA070739 | NJ | Other Service Providers |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA070739 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8216207 | 05 | |
| NJ | MEDICARE NUMBER | 038301 | 01 |
| Street Address |
688 STUYVESANT AVE |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 07111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083015663 | Jeanetta Brooks | Physician Assistant | 688 Stuyvesant Ave, Irvington, NJ 07111-4815 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1548737240 | Irvington Adult Day Care Center | Clinic/Center | 62-70 Howard Street, Irvington, NJ 07111 | 2018-10-31 |
| 1245754084 | Soul House Cruber Wellness Center | Counselor | 1144 Clinton Avenue, Irvington, NJ 07111 | 2017-08-02 |
| 1689194094 | Anthony Ijehsedeh | Nurse Practitioner | 12 Krotik Place, Irvington, NJ 07111 | 2017-06-27 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
| 1316482078 | Walgreen Co | Pharmacy | 810 Springfield Ave, Irvington, NJ 07111 | 2017-01-04 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1952759276 | Sabreehouse | Community/Behavioral Health | 74 Welland Avenue, Irvington, NJ 07111 | 2016-05-26 |
| 1447624184 | Marius Nzo Yonkeu | Pharmacist | 19 Bruen Ave Apt C1, Irvington, NJ 07111 | 2015-11-18 |
| Find all providers in zip 07111 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331357 | Leah Bacharach | Specialist | 30 Sycamore Ln, Irvington, NY 10533-1918 | 2020-06-23 |
| 1740812593 | Barbara Ann Oppenheimer | Specialist | 61 Sunnyside Pl, Irvington, NY 10533-1337 | 2020-02-10 |
| 1912538208 | Veronica Emma Vidarte | Specialist | 2 Main St Apt 301, Irvington, NY 10533-1542 | 2020-01-27 |
| 1184286858 | Erin Gorman | Specialist | 26 Hudson Ave, Irvington, NY 10533-1313 | 2019-07-02 |
| 1750643284 | Irene Mangiacotti | Specialist | 117 Valleyview Rd, Irvington, NY 10533-1847 | 2012-06-11 |
| 1548538150 | Andrea Grundstein | Specialist | 6 Dows Lane, Irvington, NY 10533 | 2011-12-09 |
| 1316230279 | Advanced Community Rehabilitation | Specialist | 40 Union Ave Ste 304, Irvington, NJ 07111-3290 | 2011-05-25 |
| 1457383382 | Emmanuel Francois | Specialist | 41 Washington Ave, Irvington, NJ 07111-3313 | 2006-07-07 |
| 1992743595 | Metropolitan Cardiovascular | Specialist | 1057 Sanford Ave, Irvington, NJ 07111-1946 | 2006-06-04 |
| 1104887819 | Rudolph Willis | Specialist | 12 Krotik Pl, Irvington Emergent Care and Rehabilitation Center Inc., Irvington, NJ 07111-1708 | 2006-03-31 |
| Find all providers in IRVINGTON | ||||
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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.