Individual provider Active NPI

David Gyawu Kufuor, MD

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
National Provider Identifier
1881421808
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1650 Grand Concourse
Bronx, NY 10457-7697
Phone
(718) 901-8203
Fax
(718) 901-8704
NPI assigned
Sep 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60-P130774-01 NY
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7697

Mailing address

1555 Grand Concourse Apt 2S
Bronx, NY 10452-6208
Phone (774) 253-3719

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920002870 NY Practitioner - Internal Medicine 8325589096 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60-P130774-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Sep 4, 2024 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1881421808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 GRAND CONCOURSE APT 2S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104526208",
            "telephone_number": "774-253-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577697",
            "telephone_number": "718-901-8203",
            "fax_number": "718-901-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFUOR",
        "first_name": "DAVID",
        "middle_name": "GYAWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-14",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60-P130774-01",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.