Sean Rogers Llewellyn, MD, PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

332392 Issued in NY

Practice address

2721 Bronxwood Ave
Bronx, NY 10469-3642

Phone

(718) 765-6350

Fax

(347) 736-0207

NPI assigned

Apr 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, NY2 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

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

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

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.

• Oak Street Health Physicians Group, PC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1083051643
  Medicare reassignment NPD
• Griffin Myers Medical, P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1780209445

  Family Medicine

  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1215499975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 BRONXWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693642",
            "telephone_number": "718-765-6350",
            "fax_number": "347-736-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 W Devon Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606601313",
            "country_code": "US",
            "telephone_number": "773-250-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100404014",
            "country_code": "US",
            "telephone_number": "212-470-2020",
            "fax_number": "646-666-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1953 University Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534404",
            "country_code": "US",
            "telephone_number": "718-765-6054",
            "fax_number": "347-706-3912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592415",
            "country_code": "US",
            "telephone_number": "718-765-6340",
            "fax_number": "347-448-5436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1317 Castle Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104624806",
            "country_code": "US",
            "telephone_number": "718-765-6343",
            "fax_number": "347-736-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104722910",
            "country_code": "US",
            "telephone_number": "718-765-6367",
            "fax_number": "347-523-8127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "SEAN",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0065851",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.161591",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "332392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Josefina F Llena, MD
• Ruth Corazon Llerena Benites, MD
• Florijana Lleshi
• Assana T Lloyd, LMSW
• Ife Lloyd
• Shakeira Lloyd, M.S.-CCC, TSSLD
• Shana Lloyd
• Tyliza Lloyd, CASAC-T

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.

Verify at the official NPI Registry.