Eniayo Egberongbe is a Cranston, Rhode Island based nurse practitioner with 8 years of experience in . He completed his graduation in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Eniayo Egberongbe is APRN01722 for Psych/Mental Health in Rhode Island. His current practice location is 1150 Reservoir Ave Ste 203, Cranston. Patients can reach him at 401-259-0340 or can fax him at 401-259-0340 and his NPI number (Unique professional ID assigned by NPPES) is 1295263515. Eniayo Egberongbe has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Eniayo Egberongbe speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Eniayo Egberongbe
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
1150 Reservoir Ave Ste 203, Cranston, Rhode Island, 02920-6043
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6406114339
Enrollment ID:
I20171221001957
NPI Number:
1295263515
NPI Enumeration Date:
31 May, 2017
NPI Last Update On:
29 Jun, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eniayo Egberongbe are as mentioned below.
License Number
Specialization
State
Status
APRN01722
Psych/Mental Health
Rhode Island
Primary
RN2330024
Registered Nurse
Massachusetts
Secondary
681574
Registered Nurse
New York
Secondary
APRN01722
Family
Rhode Island
Secondary
RN2330024
Psych/Mental Health
Massachusetts
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Eniayo Egberongbe is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Rhode Island Counseling Associates Llc (7618219544)
16
Other Medical Identifiers:
Other legacy medical identifiers associated with Eniayo Egberongbe such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
363LP0808X
Medicaid
Rhode Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Eniayo Egberongbe 1150 Reservoir Ave Ste 203, Cranston, Rhode Island
Zip:
02920-6043
Phone Number:
401-259-0340
Fax Number:
401-213-8538
Patients can reach Eniayo Egberongbe at 1150 Reservoir Ave Ste 203, Cranston, Rhode Island or can call to book an appointment on 401-259-0340.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.