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BASSEY ULO ENYENIHI
NPI 1093311409
Nurse Practitioner - Family in Manorville, NY

Active since December 10, 2020PECOS Enrolled
287 WADING RIVER ROAD, SUITE 8, MANORVILLE, NY 11949(631) 716-5410 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bassey Ulo Enyenihi NPPES

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

BASSEY ULO ENYENIHI (NPI 1093311409) is an individual family provider in Manorville, New York, licensed in New York (F343092-1) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093311409
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBASSEY ULO ENYENIHI
Location Address287 WADING RIVER ROAD, SUITE 8Manorville, NY 11949-1194
Mailing Address17 Birchgrove DrCentral Islip, NY 11722-1904 · (516) 983-0893
Phone(631) 716-5410
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1093311409 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 · F343092-1
287 WADING RIVER ROAD, Manorville, NY 11949
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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 (PECOS)

Bassey Ulo Enyenihi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638685282
PECOS Enrollment IDI20250721002498
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 11949 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY ANN RIEGEL
Nurse Practitioner (Family)
287 WADING RIVER ROAD, UNIT 2
MANORVILLE, NY 11949
Suffolk County (631) 591-3000

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 Bassey Enyenihi's NPI number?

The NPI number for Bassey Enyenihi is 1093311409. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Bassey Enyenihi located?

Bassey Enyenihi practices at 287 Wading River Road Suite 8, Manorville, NY 11949. The listed phone number is (631) 716-5410.

What is Bassey Enyenihi's specialty?

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

Is Bassey Enyenihi enrolled in Medicare?

Yes. Bassey Enyenihi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bassey Enyenihi was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.