Organization Active NPI

Elmont Medical PC

  • Primary Care Clinic/Center
  • Elmont, NY
National Provider Identifier
1841391695
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
216449 Issued in NY
Legal business name
ELMONT MEDICAL PC
Practice address
135 Rockmart Ave
Elmont, NY 11003-1731
Phone
(516) 354-5600
Fax
(516) 354-1480
NPI assigned
Sep 26, 2006
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Akwasi Afriyi Achampong, DONPI 1427168210
Title
Physician
Phone
(516) 354-5600

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
Primary Care Clinic/Center 261QP2300X 216449 NY Primary

Addresses

Primary practice location

135 Rockmart Ave
Elmont, NY 11003-1731

Mailing address

PO Box 30682
Elmont, NY 11003-0682
Phone (516) 654-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070817000417 NY Part B Supplier - Clinic/Group Practice 3870498371 Receives reassigned benefits from 2 practitioners
Practice locations: Elmont, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1012656Elmont Medical PC135 Rockmart Ave, Elmont, NY 11003Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1841391695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30682",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110030682",
            "telephone_number": "516-654-5600",
            "fax_number": "516-354-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKMART AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031731",
            "telephone_number": "516-354-5600",
            "fax_number": "516-354-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMONT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "ACHAMPONG",
        "authorized_official_first_name": "AKWASI",
        "authorized_official_middle_name": "AFRIYI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-354-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "216449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.