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

Maureen Otemure Omoaghe

Individual provider School Registered Nurse · NPI 1962710673

Maureen Otemure Omoaghe is a Nurse Practitioner in Brooklyn, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York and Texas.

Years since qualifying
2
Licensed in
NY, TX
In the registry since
2010
Specialties on file
2

Practice location Address checks out

675 Lincoln Ave Apt 12B
Brooklyn, NY 11208-4045
Phone: (347) 404-6258
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1177710 (TX)
School Registered Nurse Taxonomy 163WS0200X · Licence 560143 (NY)

Record details

NPI number1962710673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2010
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

Other providers in Brooklyn