Individual provider Active NPI

Steven O Addo-Yobo, MD, PHD

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1548553605
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
322504 Issued in NY
Practice address
685 3Rd Ave FL 7
New York, NY 10017-8409
Phone
(855) 319-4448
NPI assigned
May 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X 322504 NY
Neurological Surgery Physician 207T00000X 322504 NY Primary

Addresses

Primary practice location

685 3Rd Ave FL 7
New York, NY 10017-8409

Mailing address

1176 Ocean Ave Apt 6F
Brooklyn, NY 11230-1958

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
I20231221002912 NY Practitioner - General Practice 7012367675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

6451 Central Ave
Glendale, NY 11385-6258
Phone (718) 669-7635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322504NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC General Practice CurrentSince Nov 14, 2023 Accepting new patients
Prominis Medical Services PC CurrentSince May 6, 2024 Accepting new patients
Comprehensive Women'S Health of N.Y. PLLC PastSince Jan 9, 2009 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

443 Linden Blvd
Brooklyn, NY 11203
Phone (718) 669-7642

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

6451 Central Ave
Glendale, NY 11385
Phone (718) 669-7635

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1548553605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 OCEAN AVE APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178409",
            "telephone_number": "855-319-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO-YOBO",
        "first_name": "STEVEN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NY",
            "license": "322504",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "322504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.