Individual provider Active NPI

Kuragu Agyemang, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1508802182
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
192805 Issued in NY
Practice address
753 Classon Ave
Suite L-L
Brooklyn, NY 11238-4647
Phone
(718) 789-1261
Fax
(718) 725-7307
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 192805 NY Primary
Internal Medicine Physician 207R00000X 192805 NY

Addresses

Primary practice location

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

Mailing address

753 Classon Ave
Suite L-L
Brooklyn, NY 11238-4647
Phone (718) 789-1261

Other identifiers 1

IdentifierTypeStateIssuer
01457116MedicaidNY

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
I20040420001844 NY Practitioner - Ophthalmology 5294721965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

753 Classon Ave
Suite LL
Brooklyn, NY 11238-4614
Phone (718) 789-1261

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Agyemang Classon Medical P.C. CurrentSince Jan 2, 2002 Accepting new patients
Ebenezer Kojo Essuman MD PLLC Past Accepting new patients
Vascular Diagnostics of Li PC Past Accepting new patients

Locations

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

144 S Oxford St
Brooklyn, NY 11217
Phone (718) 638-0360

Networks

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

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508802182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "AGYEMANG",
        "first_name": "KURAGU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "192805",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01457116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.