Active NPI
Luther O Appiah, PA-C
- Physician Assistant
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025592
- Practice address
- 129 Waldron Ave
Staten Island, NY 10301-3618 - Phone
- (917) 515-4185
- NPI assigned
- May 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025592 | NY | Primary |
Addresses
Primary practice location
129 Waldron Ave
Staten Island, NY 10301-3618
Mailing address
129 Waldron Ave
Staten Island, NY 10301-3618
Phone (917) 515-4185
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Webster Ave
Bronx, NY 10456-4208
Phone (646) 612-7747
1332 Peninsula Blvd
Hewlett, NY 11557-1226
Phone (516) 531-6130
13337 41St Ave
Flushing, NY 11355-3630
Phone (347) 996-6840
1445 Richmond Ave
Staten Island, NY 10314-1563
Phone (929) 219-0622
1585 Dutch Broadway
Valley Stream, NY 11580-1333
Phone (516) 490-6300
1700 Hylan Blvd
Staten Island, NY 10305-1930
Phone (516) 537-9062
2128 Rockaway Pkwy
Brooklyn, NY 11236-5802
Phone (718) 489-8820
21304 Northern Blvd
Bayside, NY 11361-3344
Phone (929) 744-1197
23315 Hillside Ave
Queens Village, NY 11427-2634
Phone (718) 210-1945
2590 Hylan Blvd
Unit a
Staten Island, NY 10306-4368
Phone (718) 502-9879
332 E 149TH St
Bronx, NY 10451-5627
Phone (347) 329-4010
3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550
3400 Boston Rd
Bronx, NY 10469-2502
Phone (718) 290-8787
3631 Hempstead Tpke
63A
Levittown, NY 11756-1315
Phone (516) 537-9063
377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061
50 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 399-3068
595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952
683 Sunrise Hwy
Lynbrook, NY 11563-3246
Phone (516) 441-2155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025592 | NY | MD | Pharmacist |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Past | Accepting new patients |
| Pharma Holding Inc | Past | Accepting new patients | |
| Rockland Medical Group, PLLC | Single Specialty | Past | Accepting new patients |
Locations
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- luther.appiah@ghuc.eclinicaldirectplus.com
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Urology Physician
- New York, NY
- NPI 1750647152
Single Specialty
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1205105004
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Single Specialty
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Single Specialty
-
- Pharmacy
- Brooklyn, NY
- NPI 1396153680
-
- Internal Medicine Physician
- Garnerville, NY
- NPI 1336172501
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1821610106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 WALDRON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013618",
"telephone_number": "917-515-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 WALDRON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013618",
"telephone_number": "917-515-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPIAH",
"first_name": "LUTHER",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-10",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "025592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.