David Nii Yarteboye Annan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

265428 Issued in NY

Practice address

4518 Court SQ
Suite 500
Long Island City, NY 11101-2955

Phone

(718) 472-1999

NPI assigned

Jun 25, 2012

Last updated

Jun 25, 2012By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dannan18872@sbhny.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partners Medical Group, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Getzville, NY
  • NPI 1184305153
  Medicare reassignment NPD
• Hospice of New York, LLC

  • Community Based Hospice Care Agency
  • Long Island City, NY
  • NPI 1013001197

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1558624544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 COURT SQ",
            "address_2": "SUITE 500",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 COURT SQ",
            "address_2": "SUITE 500",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012955",
            "telephone_number": "718-472-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNAN",
        "first_name": "DAVID",
        "middle_name": "NII YARTEBOYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anish Pharmacy
• Nazifah Anjum, RN
• Roda Owusu Ankomah
• Seema Ankumar, PHARMD
• Anna Boynton LCSW, PLLC (Desert Flower Therapy)
• Malika Shiny A Annapogu
• Annie Frisbie Ibclc, Inc Dba City Lactation
• Andre Anteliz, LMHC
• Sandra Anthony
• Yvonne Antwi

• Family Medicine Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.