Achiamah Osei-Tutu, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

251302 Issued in NY

Practice address

560 Northern Blvd
Suite 204a
Great Neck, NY 11021-5118

Phone

(516) 506-0025

Fax

(516) 506-0032

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 28, 2019 through May 28, 2027

Specialty

Dermatology

Education

State University of New York at Stony Brook, School of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00031

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.

• Bergen Dermatology LLC

  • Dermatology Physician
  • Englewood Cliffs, NJ
  • NPI 1548567365
  NPD (past) Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1376733345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 204A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215118",
            "telephone_number": "516-506-0025",
            "fax_number": "516-506-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 204A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215118",
            "telephone_number": "516-506-0025",
            "fax_number": "516-506-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI-TUTU",
        "first_name": "ACHIAMAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "251302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Associates of Manhasset MRI
• Orthopaedic Associates of Manhasset PC
• Orthopaedic Care of Long Island PC
• Jose M. Ortiguera, M.D.
• Osei-Tutu Dermatology PC
• Ossia Care
• Deborah Ostrov, PH.D.
• William George Oswald III, DPT
• Our Gentle Touch Chiropractic of the Bronx, P.C.
• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

• Dermatology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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; Opt Out Affidavits.
• 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.