Doreen Esther Amankwah Owusu, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

312122 Issued in NY

Practice address

130 Medford Ave
Patchogue, NY 11772-1206

Phone

(631) 475-5734

NPI assigned

Apr 17, 2018

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Doreen Esther Aboagye Former name

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

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Patchogue Family Medical Care PCGroup PAC ID 0648160713, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
• Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Patchogue Family Medical Care, PC

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1700915113
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• NYU Langone Hospitals

  dba NYU Langone Hospitals - Suffolk

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Patchogue, NY
  • NPI 1013724061

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  dba NYU Langone Hospital - Suffolk

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1831910355
  Care Compare affiliation
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  dba Tender Loving Care, an Amedisys Company

  • Home Health Agency
  • Medford, NY
  • NPI 1699715961
  Care Compare affiliation

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1922595891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721206",
            "telephone_number": "631-475-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721206",
            "telephone_number": "631-475-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANKWAH OWUSU",
        "first_name": "DOREEN",
        "middle_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "312122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "ABOAGYE",
            "middle_name": "ESTHER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• All Pro Medical Supplies, Inc.
• Kenyetta F Allen, LPN
• Lisa Allen
• Leslie Altamirano
• Julia Amadio
• Ronald Amaya Lopez, DPT
• American Wound Care Medicine PLLC
• Amken Orthopedics, Inc.
• Lori Jean Amodio, OTR/L
• Amanda Monique Anderson, RN

• Family Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.