Individual provider Active NPI

Ebenezer Kojo Essuman, MD

  • Neurology Physician
  • Uniondale, NY
National Provider Identifier
1497741060
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
179801 Issued in NY
Practice address
451 Uniondale Ave
Uniondale, NY 11553-2232
Phone
(516) 485-2277
Fax
(516) 485-2229
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 179801 NY Primary

Addresses

Primary practice location

451 Uniondale Ave
Uniondale, NY 11553-2232

Mailing address

451 Uniondale Ave
Uniondale, NY 11553-2232
Phone (516) 485-2277

Other identifiers 2

IdentifierTypeStateIssuer
01231OtherNYGHI MCR
01457056MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001393 NY Practitioner - NeurologyPractitioner - Interventional Pain ManagementPractitioner - OphthalmologyPractitioner - Other (Physician) 4082706023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

8 New York Ave
Freeport, NY 11520-2017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Jul 1, 2019 Accepting new patients
Vascular Diagnostics of Li PC Past Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ebenezer.essuman.1@14448.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497741060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532232",
            "telephone_number": "516-485-2277",
            "fax_number": "516-485-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532232",
            "telephone_number": "516-485-2277",
            "fax_number": "516-485-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSUMAN",
        "first_name": "EBENEZER",
        "middle_name": "KOJO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "179801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MCR",
            "identifier": "01231",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01457056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

Verify at the official NPI Registry.