Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amaka Ofonagoro

Individual provider Nurse Practitioner · NPI 1700665932

Amaka Ofonagoro is a Nurse Practitioner in Canton, Massachusetts. Qualified in 2021, 5 years ago. Practices with Bay Healthcare LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2023

Practice location Address checks out

27 Randolph St
Canton, MA 02021-2324
Phone: (617) 888-9097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2269069 (MA)

Record details

NPI number1700665932
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bay Healthcare Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canton