VICTOR AZUBIKE AMOBI CRNP-PMH NPI 1356532386

NPI Information

NPI: 1356532386
Provider Name: VICTOR AZUBIKE AMOBI, CRNP-PMH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
169 W 133RD ST
NEW YORK, NY
ZIP 10030
Phone: (646) 762-4950
Get Directions

Victor Azubike Amobi, CRNP-PMH is a psychiatric/mental health nurse practitioner in New York, NY. Victor Azubike Amobi, CRNP-PMH NPI is 1356532386. 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:

169 W 133RD ST
NEW YORK, NY
ZIP 10030-301
Phone: (646) 762-4950
Fax: (646) 762-4955

The NPI 1356532386 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 8/6/2007 and was last updated on 11/22/2021.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	679575	CALIFORNIA	No
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	R178048	MARYLAND	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	402802	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	679575	OTHER	CALIFORNIA	NURSING BOARD

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

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