Eze Livingstone Amaechi, MD
Individual provider Active NPI Pulmonary Disease Physician · Bronx, NY
NPI 1639655848 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1639655848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 327052 (NY)
- Practice address
- 234 E 149TH St
Bronx, NY 10451-5504 - Phone
- (718) 579-5000
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MVHS Inc
Practice addresses (Care Compare)
35 Riverside Dr
Utica, NY 13502-2320
Phone (315) 624-8400
Hospital & facility affiliations
- Wynn Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716003690 | NY | Practitioner - Pulmonary Disease | 4183169923 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients |
Locations
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
35 Riverside Dr
Utica, NY 13502
Phone (315) 624-8400
Interoperability endpoints
- eamaechi47270@mvhealthsystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 327052 | NY | Yes |
Addresses
Primary practice location
234 E 149TH St
Bronx, NY 10451-5504
Mailing address
561 W 144TH St Apt 44
New York, NY 10031-5707
Phone (917) 224-9356
Other providers in Bronx, NY
- Jessica H Amadeo-Guzman
- Ryan Amadeus
- Marthachristy Amadi
- Dennise Amado
- Janelle Amador
- Lemchukwu Amaeshi
- Amal Hope Services LLC
- Doris Amalu
- Vamsi-Phanindra Amanchi
- Nana Ama Dapaa Amankwa
All providers in Bronx, NY · Pulmonary Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.