Organization Active NPI

Agyemang Classon Medical P.C.

  • Medical Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1235385089
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
192805 Issued in NY
Legal business name
AGYEMANG CLASSON MEDICAL P.C.
Practice address
753 Classon Ave
Suite L-L
Brooklyn, NY 11238-4647
Phone
(718) 789-1261
Fax
(718) 725-7307
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Kuragu Agyemang, M.D.NPI 1508802182
Title
President
Phone
(718) 789-1261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 192805 NY Primary

Addresses

Primary practice location

753 Classon Ave
Suite L-L
Brooklyn, NY 11238-4647

Mailing address

533 S Long Beach Ave
Freeport, NY 11520-6109
Phone (718) 789-1261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040501000321 NY Part B Supplier - Clinic/Group Practice 5799773578 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

753 Classon Ave
Ste Ll
Brooklyn, NY 11238
Phone (718) 636-1326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1235385089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S LONG BEACH AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206109",
            "telephone_number": "718-789-1261",
            "fax_number": "718-725-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CLASSON AVE",
            "address_2": "SUITE L-L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384647",
            "telephone_number": "718-789-1261",
            "fax_number": "718-725-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGYEMANG CLASSON MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "AGYEMANG",
        "authorized_official_first_name": "KURAGU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-789-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "192805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.