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

Ifeanyi Nwobi

Individual provider Surgical Physician Assistant · NPI 1861718355

Ifeanyi Nwobi is a Physician Assistant in Brooklyn, New York. Qualified in 2010, 16 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone: (718) 613-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 521 W 42nd St, New York, NY 10036-6203 — (212) 695-4444

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 013944 (NY)

Record details

NPI number1861718355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2010
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brooklyn