Individual provider Active NPI

Essam S Yousef, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Bellerose, NY
National Provider Identifier
1649367699
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
23865 Issued in OK
Practice address
7403 Commonwealth Blvd
Bellerose, NY 11426-1839
Phone
(718) 264-4535
NPI assigned
Oct 9, 2006
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 23865 OK Primary

Addresses

Primary practice location

7403 Commonwealth Blvd
Bellerose, NY 11426-1839

Mailing address

7701 A 247 Street
Queens
Bellerose, NY 11426
Phone (718) 825-7084

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
I20081021000232 NY Practitioner - Psychiatry 1052311412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Hospital YonkersGroup PAC ID 0547156176, 59 clinicians

Practice addresses (Care Compare)

107 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7110

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-8513

275 N St
Harrison, NY 10528-1140
Phone (914) 967-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23865OKMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center CurrentSince Mar 30, 2015 Accepting new patients
Spectrum Psychiatry, PC CurrentSince Oct 1, 2014 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Mar 30, 2015 Accepting new patients
Park Slope Center for Mental Health, Inc CurrentSince Oct 23, 2014 Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
St Josephs Hospital Yonkers Past Accepting new patients

Locations

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

275 North St
Harrison, NY 10528
Phone (914) 925-5211

514 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

127 S Broadway
#2
Yonkers, NY 10701
Phone (914) 378-7342

Networks

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1649367699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 A 247 STREET",
            "address_2": "QUEENS",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "11426",
            "telephone_number": "718-825-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 COMMONWEALTH BLVD",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261839",
            "telephone_number": "718-264-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "ESSAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OK",
            "license": "23865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.