MICHAEL IFEANYI OTUGH NP NPI 1093944860

NPI Information

  • NPI: 1093944860
  • Provider Name: MICHAEL IFEANYI OTUGH, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 354 HEMPSTEAD AVE STE 101
    WEST HEMPSTEAD, NY
    ZIP 11552
  • Phone: (516) 500-9905

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NPI Details

Michael Ifeanyi Otugh, NP is an adult health nurse practitioner in West Hempstead, NY with 11 years of experience. Michael Ifeanyi Otugh, NP NPI is 1093944860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

354 HEMPSTEAD AVE STE 101
WEST HEMPSTEAD, NY
ZIP 11552-050
Phone: (516) 500-9905
Fax: (516) 500-9533

The NPI 1093944860 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 7/14/2009 and was last updated on 1/15/2020.

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
1363LA2200XNurse PractitionerAdult Health307338NEW YORKYes

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: 11/21/2025

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