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

Judith Chukwuma

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1467942334

Judith Chukwuma is a Nurse Practitioner in Brentwood, New York. Qualified in 2020, 6 years ago. Practices with Phoenix Houses of Long Island Inc, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

998 Crooked Hill Rd
Brentwood, NY 11717
Phone: (631) 306-5871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 998 Crooked Hill Rd, Brentwood, NY 11717-1019 — (631) 761-3500

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403263 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 527615-1 (NY)

Record details

NPI number1467942334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2018
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Phoenix Houses Of Long Island Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brentwood