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

Charles Obum Okoye

Individual provider Primary Care Nurse Practitioner · NPI 1154876571

Charles Obum Okoye is a Nurse Practitioner in Jamaica, New York. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

11942 179th St
Jamaica, NY 11434-1942
Phone: (646) 379-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence F358105 (NY)

Record details

NPI number1154876571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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