Individual provider Active NPI

Michael Osei Kwakye, M.D

  • Public Health & General Preventive Medicine Physician
  • Long Island City, NY
National Provider Identifier
1104232040
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
294179 Issued in NY
Practice address
4209 28TH St
Long Island City, NY 11101-4130
Phone
(203) 745-8432
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X 294179 NY Primary
General Practice Physician 208D00000X 294179 NY

Addresses

Primary practice location

4209 28TH St
Long Island City, NY 11101-4130

Mailing address

80 Juniper LN
Farmingville, NY 11738-2331
Phone (203) 745-8432

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
I20211021001930 NY Practitioner - General Practice 1557759628 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
State University of Ny Upstate Medical University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CTD Network LLCGroup PAC ID 4486025087, 27 clinicians

Practice addresses (Care Compare)

442 5TH Ave
Suite 2115
New York, NY 10018-2794
Phone (813) 807-3338

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC Single Specialty CurrentSince Aug 7, 2025 Accepting new patients
House Call Medical Services of New York, PLLC Single Specialty CurrentSince Feb 7, 2025 Accepting new patients
Essen Medical Associates, PC Single Specialty CurrentSince Feb 7, 2025 Accepting new patients
Mobile Medical Care PC Single Specialty CurrentSince Jul 7, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 7, 2025 Accepting new patients
Bronx Medical Practice P.C. Single Specialty CurrentSince Feb 7, 2025 Accepting new patients
Resource Medical Clinic LLC Current Accepting new patients
New York Cares Group LLC Single Specialty CurrentSince Nov 11, 2022 Accepting new patients
Metropolis Medical PC Single Specialty PastSince Oct 1, 2020 Accepting new patients
Balance Medical Professional Primary Services PLLC Single Specialty PastSince Oct 1, 2020 Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

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

156 1st St
Mineola, NY 11501
Phone (516) 741-4082

442 5th Ave
#2115
New York, NY 10018

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

99 Golden Hill Dr
Saint Remy, NY 12401
Phone (845) 240-4299

Organizations & group practices 11

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1104232040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JUNIPER LN",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382331",
            "telephone_number": "203-745-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 28TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "203-745-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKYE",
        "first_name": "MICHAEL",
        "middle_name": "OSEI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "294179",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "294179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.