Individual provider Active NPI

Samuel Apeatu, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • New York, NY
National Provider Identifier
1013939545
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
175341 Issued in NY
Practice address
225 Broadway Ste 705
New York, NY 10007
Phone
(212) 349-2787
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurodevelopmental Disabilities Physician 2084P0005X 175341 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 175341 NY Primary
Clinical Neurophysiology Physician 2084N0600X 175341 NY

Addresses

Primary practice location

225 Broadway Ste 705
New York, NY 10007

Mailing address

225 Broadway Ste 705
New York, NY 10007-3791
Phone (212) 349-2787

Other identifiers 1

IdentifierTypeStateIssuer
01082219MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080122000426 NY Practitioner - NeurologyPractitioner - Pediatric Medicine 5991886491 Reassigns benefits to 3 organizations
I20220830001899 NJ Practitioner - Neurology 5991886491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SJ All Medical PCGroup PAC ID 9830412642, 10 clinicians
Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians

Practice addresses (Care Compare)

139 N Central Ave
Suite 2
Valley Stream, NY 11580-3859
Phone (516) 887-8808

225 Broadway
Suite 705
New York, NY 10007-3791
Phone (212) 349-2787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SJ All Medical PC Clinical Neurophysiology CurrentSince Apr 6, 2019 Accepting new patients
Greater Ny Neurology PC CurrentSince Jan 26, 2019 Accepting new patients
Complete Neurological Care of NJ PC Clinical Neurophysiology CurrentSince Jul 15, 2022 Accepting new patients
Complete Neurological Care PC CurrentSince Jul 4, 2018 Accepting new patients
Nuvance Health Medical Practice PC Past Accepting new patients
Eriver Neurology of New York. LLC Neurology With Special Qualifications in Child Neurology PastSince Apr 1, 2007 Accepting new patients
Madison Medical Practice P.C. Past Accepting new patients
Suny Health Science Center at Brooklyn Past Accepting new patients

Locations

615 Main Ave
Ste 1
Passaic, NJ 07055
Phone (973) 928-0502

3613 30th Ave
Astoria, NY 11103
Phone (718) 204-1975

11247 Queens Blvd
Ste 206
Forest Hills, NY 11375
Phone (718) 268-1750

274 Madison Ave
Rm 304
New York, NY 10016
Phone (212) 349-2787

150 E 55th St
Fl 4
New York, NY 10022
Phone (212) 349-2787

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

125 N Central Ave
Ste A
Valley Stream, NY 11580
Phone (516) 887-8808

139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1013939545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073791",
            "telephone_number": "212-349-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-349-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APEATU",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "175341",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "175341",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "175341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01082219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.