MRS. GLORIA OZIOMA IBEZIM FAMILY NURSE PRACT NPI 1649529900

NPI Information

NPI: 1649529900
Provider Name: MRS. GLORIA OZIOMA IBEZIM, FAMILY NURSE PRACT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
620 WESTFALL RD
ROCHESTER, NY
ZIP 14620
Phone: (585) 461-8580
Get Directions

MRS. Gloria Ozioma Ibezim, FAMILY NURSE PRACT is a family nurse practitioner in Rochester, NY. MRS. Gloria Ozioma Ibezim, FAMILY NURSE PRACT NPI is 1649529900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 WESTFALL RD
ROCHESTER, NY
ZIP 14620-610
Phone: (585) 461-8580

The NPI 1649529900 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/2/2012 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		574544	NEW YORK	No
2	363L00000X	Nurse Practitioner		F08170262	NEW YORK	No
3	364SF0001X	Clinical Nurse Specialist	Family Health	FO8170262	NEW YORK	No
4	363LF0000X	Nurse Practitioner	Family	F08170262	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1649529900	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »