Samuel E Ottong, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

244387 Issued in NY

Practice address

8515 Main St
Briarwood, NY 11435-1879

Phone

(718) 523-7186

Fax

(718) 206-1370

NPI assigned

Jun 6, 2007

Last updated

Jan 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Bishop Medical PC

  • Clinic/Center
  • Briarwood, NY
  • NPI 1205246410
  Medicare reassignment Authorized official
• Sanderson Medical PC

  • Family Medicine Physician
  • Briarwood, NY
  • NPI 1306032305
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1972706174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 MAIN ST APT 12J",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351863",
            "telephone_number": "347-791-7957",
            "fax_number": "718-206-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351879",
            "telephone_number": "718-523-7186",
            "fax_number": "718-206-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTONG",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ny Therapy for Kids, Inc.
• Emmanuel Oszwa Odigie
• Uwadiae Odigie
• One Magic Touch
• One Magic Touch
• Jolene Pagan, RN
• Nedene Evadney Palmer, RN
• Rani Pappan
• Jilpa Patel, P.A
• Rashi Amrishbhai Patel

• Family Medicine Physician in Briarwood, NY
• Providers in Briarwood, 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 Jan 11, 2018; 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.