Individual provider Active NPI

Ebere Loveline Uzoeto, MD

  • General Practice Physician
  • Flushing, NY
National Provider Identifier
1053840132
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P06097 Issued in NY
Practice address
11919 Graham CT
Flushing, NY 11354-1047
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X P06097 NY Primary

Addresses

Primary practice location

11919 Graham CT
Flushing, NY 11354-1047

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180221001270 NY Practitioner - General Practice 8426341785 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Celina Memorial Clinic Inc Current Accepting new patients
Sir Akoma Memorial Foundation Clinic Inc. Current Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Feb 5, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 5, 2018 Accepting new patients
Internal Medicine Solutions P.C. CurrentSince Jan 24, 2023 Accepting new patients
Atlas Ipa, LLC PastSince Jul 24, 2022 Accepting new patients
Shakespeare Operating LLC PastSince Jul 24, 2022 Accepting new patients

Locations

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053840132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581000",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 GRAHAM CT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541047",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOETO",
        "first_name": "EBERE",
        "middle_name": "LOVELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P06097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.