Active NPI
Charles Edusei
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1215345392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338710-1
- Practice address
- 1280 Givan Ave
Gevans Medical Practice
Bronx, NY 10469 - Phone
- (347) 449-5936
- Fax
- (347) 449-5937
- NPI assigned
- Aug 1, 2014
- 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 | F338710-1 | NY | Primary |
Addresses
Primary practice location
1280 Givan Ave
Gevans Medical Practice
Bronx, NY 10469
Mailing address
8 Fordham Hill Oval Apt 10G
Bronx, NY 10468-4807
Phone (646) 319-5561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338710-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gevans Medical Practice P.C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1538300934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1215345392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FORDHAM HILL OVAL APT 10G",
"city": "BRONX",
"state": "NY",
"postal_code": "104684807",
"telephone_number": "646-319-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 GIVAN AVE",
"address_2": "GEVANS MEDICAL PRACTICE",
"city": "BRONX",
"state": "NY",
"postal_code": "10469",
"telephone_number": "347-449-5936",
"fax_number": "347-449-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDUSEI",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-01",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338710-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.