DR. CHUKWUKA MORDI (NPI# 1962708529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962708529 |
| Entity Type | Individual |
| Full Name | DR. CHUKWUKA MORDI |
| Credential | FPMHNP |
| Practice Address |
197 Half Hollow Rd Dix Hills NY 11746-5861 |
| Practice Telephone | 3476934311 |
| Mailing Telephone | 3476934311 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2017-01-03 |
| 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 |
F402108 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
197 HALF HOLLOW RD |
| City | DIX HILLS |
| State | NY |
| Zip Code | 11746-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104983329 | Nys Office of Mental Health | Clinic/Center | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-01-03 |
| 1588128052 | Anthony Calabrese | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5859 | 2019-01-29 |
| 1053829622 | Donna Cohen-buthmann | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2018-01-17 |
| 1245747799 | Megan Antoncich | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2018-01-05 |
| 1093118283 | Andrew C Yang | Pharmacist | 197 Half Hollow Rd, Pharmacy Dept, Dix Hills, NY 11746-5859 | 2014-10-01 |
| 1891927851 | Lyle Eisenberg | Pharmacist | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2009-08-10 |
| 1003040486 | Edward John Rorrison | Pharmacist | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2009-05-13 |
| 1497946784 | Jeannette Santulli | Registered Nurse | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-08-05 |
| 1649480294 | Michele Marie Mahon | Psychiatry & Neurology | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-05-23 |
| 1285846188 | Angela M. Bengis | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| 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 |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHUKWUKA MORDI.
| 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.