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ENIAYO EGBERONGBE NPI 1295263515


NPI Information

NPI: 1295263515
Provider Name: ENIAYO EGBERONGBE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1150 RESERVOIR AVE STE 203
CRANSTON, RI
ZIP 02920
Phone: (401) 259-0340
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Eniayo Egberongbe is a psychiatric/mental health nurse practitioner in Cranston, RI with 7 years of experience. Eniayo Egberongbe NPI is 1295263515. 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:

1150 RESERVOIR AVE STE 203
CRANSTON, RI
ZIP 02920-043
Phone: (401) 259-0340
Fax: (401) 259-0340

The NPI 1295263515 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.

  • Psychotherapy, 30 minutes (HCPCS:90833)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 5/31/2017 and was last updated on 6/29/2021.


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
1163W00000XRegistered NurseRN2330024MASSACHUSETTSNo
2163WP0808XRegistered NursePsychiatric/Mental Health681574NEW YORKNo
3363LF0000XNurse PractitionerFamilyAPRN01722RHODE ISLANDNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN01722RHODE ISLANDYes
5363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2330024MASSACHUSETTSNo

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
1363LP0808XMEDICAIDRHODE ISLAND

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: 5/5/2024

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.