Eugene Owusu Ansah, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309608-1 Issued in NY

Practice address

30 Eisenhower Ave
Brentwood, NY 11717-3324

Phone

(631) 522-3793

NPI assigned

Jan 10, 2019

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1447723630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EISENHOWER AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173324",
            "telephone_number": "631-522-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EISENHOWER AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173324",
            "telephone_number": "631-522-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU ANSAH",
        "first_name": "EUGENE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309608-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthomotion Rehab DME
• Elena Ortiz
• Elyse Marie Ostrove
• Karina Otero
• Outreach Development Corperation
• Carli Paccione, LMSW
• Ashok Pancholi
• Manjiri Pande, DMD
• Monique Pascual, D.C.
• John Gabriel Passarelli, MD

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.