Nii Awuley Clottey, LPN

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021685 Issued in NY

Practice address

3615 Avenue J
PH
Brooklyn, NY 11210-4337

Phone

(646) 745-0628

NPI assigned

Oct 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Neurological Services PCGroup PAC ID 7517858319, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Improvement activities

40

Cost

80.18

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• All Neurological Services PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1881711596
  Medicare reassignment Care Compare group
• Jerry Uduevbo, M.D., P.C.

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1033436365
  Medicare reassignment
• SK Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1578108635
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1811240484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 AVENUE J",
            "address_2": "PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104337",
            "telephone_number": "646-745-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 AVENUE J",
            "address_2": "PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104337",
            "telephone_number": "646-745-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOTTEY",
        "first_name": "NII",
        "middle_name": "AWULEY",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310238-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarivel Clore
• Carlo Augustin Gomez Cloribel, PT
• Close at Heart LLC
• Closetless Mental Health Counseling PLLC
• Stefany F. Clotet, LMSW
• Erica Mei Cloud, DPT
• Kaya Clouden
• Vanessa Clouden, LMHC
• Briana Cloutier, RPN
• Kaleb Christopher Clubb

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.
• 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.