NPIMap

Organization Active NPI

Ebenezer Kojo Essuman MD PLLC

Doing business as uniondale medical multi-specialty

  • Specialist
  • Uniondale, NY
National Provider Identifier
1710181771
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EBENEZER KOJO ESSUMAN MD PLLC
Doing business as
uniondale medical multi-specialty
Practice address
451 Uniondale Ave
Uniondale, NY 11553-2232
Phone
(516) 670-6106
Fax
(516) 485-2229
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Ebenezer Kojo Essuman, MDNPI 1497741060
Title
President
Phone
(516) 670-6106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

451 Uniondale Ave
Uniondale, NY 11553-2232

Mailing address

451 Uniondale Ave
Uniondale, NY 11553-2232
Phone (516) 670-6106

Other names 1

  • uniondale medical multi-specialty Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001371 NY Part B Supplier - Clinic/Group Practice 0648362681 Receives reassigned benefits from 1 practitioner
Practice locations: Far Rockaway, NY; Freeport, NY; Uniondale, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1710181771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532232",
            "telephone_number": "516-670-6106",
            "fax_number": "516-485-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532232",
            "telephone_number": "516-670-6106",
            "fax_number": "516-485-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER KOJO ESSUMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "ESSUMAN",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_middle_name": "KOJO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-670-6106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "uniondale medical multi-specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.