Active NPI
Yaw Adom, FNP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F346658
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Jul 12, 2012
- Last updated
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F346658 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
Other practice location 1
2054 Tillotson Ave
Bronx, NY 10475-1560
Phone (718) 671-2100
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | BRONX | ||
| Other URL | BRONX |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F346658 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Urgent Care PLLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Divinity Medical Services PLLC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Past | Accepting new patients |
Locations
100 Challenger Rd
Ste 303
Ridgefield Pk, NJ 07660
1009 E 163rd St
Bronx, NY 10459
Phone (718) 542-4200
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
2865 3rd Ave
Bronx, NY 10455
Phone (718) 703-7878
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
875 Utica Ave
Brooklyn, NY 11203
Phone (718) 964-6066
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
dba AFC Urgent Care Yorktown
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1063898096
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1073878302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 WILLIAMSBRIDGE RD FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104612507",
"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": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [
{
"address_1": "2054 Tillotson Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104751560",
"country_code": "US",
"telephone_number": "718-671-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADOM",
"first_name": "YAW",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F346658",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BRONX",
"affiliation": "N",
"address_1": "1009 E 163rd St",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104594308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BRONX",
"affiliation": "N",
"address_1": "1009 E 163rd St",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104594308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.