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Active NPI 1417468604 Individual Practitioner Female Practitioner

Caroline C Ejiogu

Licensed Practical Nurse • Laurelton, NY

Professional Overview & Biography Verified Profile Summary

Caroline Ejiogu is a registered healthcare professional specializing in Licensed Practical Nurse in Laurelton, NY. Practice services are available at 23214 MERRICK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23214 Merrick Blvd

Laurelton, NY 114132115

Telephone 7185283432
Associated Practice Facility / Clinic
🏢 Verdun Home Health Care Inc Facility NPI 1174668149

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Laurelton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
141 Specialists

Practicing in Laurelton, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 314036

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
NX11550B (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Colette Fletcher

Licensed Practical Nurse

NPI 1003068123
Carol Allicock

Licensed Practical Nurse

NPI 1023260130
Veronica Gonsalves

Registered Nurse

NPI 1033494166
Rianna Mercurius , RN

Registered Nurse

NPI 1033505417

Registered Nurse

Dana Johnson

Licensed Practical Nurse

NPI 1043463805
Marie Vernet

Licensed Practical Nurse

NPI 1043700966

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2017

Registered at 23214 MERRICK BLVD, LAURELTON, NY 114132115 (Tel: 7185283432)

📍
Updated Business Mailing Address October 16, 2017

Registered at 10811 171ST PL, JAMAICA, NY 114333027

👤
Provider Name / Credentials Updated October 16, 2017

Recorded as CAROLINE EJIOGU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2017

Licensed Practical Nurse (License #314036 in NY)

🟢
Initial NPI Registration & Enumeration October 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417468604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2017
Last Update: October 16, 2017
Sole Proprietor: No

Mailing Address

10811 171st Pl

Jamaica, NY 114333027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.