Dr. Kyei Anti Medical Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

263391 Issued in NY

Legal business name

DR. KYEI ANTI MEDICAL PRACTICE LLC

Practice address

3853 White Plains Rd
Bronx, NY 10467-5115

Phone

(347) 697-7168

Fax

(347) 697-7169

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Afua Kyei-Anti, MDNPI 1235304106

Title

Owner

Phone

(631) 790-4945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DR KYEI FAMILY PRACTICE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Afua Kyei-Anti, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1235304106

  NY

  Medicare reassignment NPD Authorized official
• Emmanuel Kwarteng Peprah, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1487742193
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1770075855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675115",
            "telephone_number": "347-697-7168",
            "fax_number": "347-697-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675115",
            "telephone_number": "347-697-7168",
            "fax_number": "347-697-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KYEI ANTI MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "KYEI-ANTI",
        "authorized_official_first_name": "AFUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-790-4945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "263391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03415318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR KYEI FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vlad Dragan, MD

• All providers in Bronx, NY
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.