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

Dr. Kennedy Onome Omonuwa, MD

Individual provider Internal Medicine Physician · NPI 1730389172

Dr. Kennedy Onome Omonuwa, MD is a Critical Care (Intensivists) in New Hyde Park, New York. Qualified in 1998, 28 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

410 Lakeville Rd Ste 107
New Hyde Park, NY 11042-1102
Phone: (516) 465-5400
Fax: (516) 465-5454
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 245036 (NY)

Record details

NPI number1730389172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESJuly 24, 2007

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE, PULMONARY DISEASE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Hyde Park