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MR. BOB NWOKE
NPI 1063387413
Nurse Practitioner - Family in Laurelton, NY

Active since October 07, 2025PECOS EnrolledAccepts Medicare Assignment
23148 MENTONE AVE, LAURELTON, NY 11413(631) 703-6063 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Bob Nwoke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BOB NWOKE (NPI 1063387413) is an individual family provider in Laurelton, New York, licensed in New York (357958) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063387413
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BOB NWOKE
Location Address23148 MENTONE AVELaurelton, NY 11413-2955
Mailing Address23148 Mentone AveLaurelton, NY 11413-2955
Phone(631) 703-6063
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1063387413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 357958
23148 MENTONE AVE, Laurelton, NY 11413
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Bob Nwoke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153813043
PECOS Enrollment IDI20251128000317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11413 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bob Nwoke's NPI number?

The NPI number for Bob Nwoke is 1063387413. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Bob Nwoke located?

Bob Nwoke practices at 23148 Mentone Ave, Laurelton, NY 11413. The listed phone number is (631) 703-6063.

What is Bob Nwoke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bob Nwoke enrolled in Medicare?

Yes. Bob Nwoke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bob Nwoke was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.