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DR. JERMAINE OSEI-TUTU DO
NPI 1215502646
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since May 27, 2021PECOS Enrolled
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jermaine Osei-tutu Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERMAINE OSEI-TUTU DO (NPI 1215502646) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215502646
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JERMAINE OSEI-TUTUCredential: DO
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2190
Mailing Address32 Lakeview AveRocky Hill, CT 06067-1725 · (860) 796-7059
Phone(631) 473-1320
Sole ProprietorNo
Enumeration DateMay 27, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1215502646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
75 N COUNTRY RD, Port Jefferson, NY 11777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jermaine Osei-tutu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jermaine Osei-tutu's NPI number?

The NPI number for Jermaine Osei-tutu is 1215502646. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Jermaine Osei-tutu located?

Jermaine Osei-tutu practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Jermaine Osei-tutu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jermaine Osei-tutu enrolled in Medicare?

Yes. Jermaine Osei-tutu is registered in the Medicare PECOS enrollment system.

What insurance does Jermaine Osei-tutu accept?

Health plans from Anthem Blue Cross and Blue Shield list Jermaine Osei-tutu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jermaine Osei-tutu was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.