OSEITUTU FAMILY MEDICAL PLLC
NPI 1528536471
Family Medicine - Obesity Medicine in Rockville Centre, NY

Q: What is Oseitutu Family Medical PLLC's NPI number?

The NPI number for Oseitutu Family Medical PLLC is 1528536471. It was assigned to this organization in the NPPES registry on November 8, 2018.

Q: What is Oseitutu Family Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Active since November 08, 2018CLIA 33D2305805 · Waiver

30 HEMPSTEAD AVE STE 151, ROCKVILLE CENTRE, NY 11570(646) 838-3560(646) 838-3569 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2025, Nov 8, 2018 (2 updates tracked since 2018).

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About Oseitutu Family Medical Pllc NPPES

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

OSEITUTU FAMILY MEDICAL PLLC (NPI 1528536471) is a healthcare organization registered as an obesity medicine in Rockville Centre, New York and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Nanna Oseitutu-ebanks, Owner, as its authorized official.

NPPES Registry Identity

NPI1528536471

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameOSEITUTU FAMILY MEDICAL PLLC

Location Address30 HEMPSTEAD AVE STE 151Rockville Centre, NY 11570-4034

Mailing Address488 Allen AveBaldwin, NY 11510-3701 · (347) 743-3773

Phone(646) 838-3560

Fax(646) 838-3569

Organization SubpartNo

Authorized OfficialNanna Oseitutu-ebanksOwner · (347) 743-3773

Enumeration DateNovember 8, 2018

Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1528536471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedFamily MedicineTaxonomy 207Q00000X

30 HEMPSTEAD AVE STE 151, Rockville Centre, NY 11570

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oseitutu Family Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oseitutu Family Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nanna Oseitutu-Ebanks, M.D.

Family Practice

NPI 1477942597

30 HEMPSTEAD AVE STE 151
Rockville Centre, NY 11570

(646) 838-3560

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2305805

Oseitutu Family Medical, PLLC · Rockville Centre, NY

Active · expires Jun 5, 2028

CLIA Number33D2305805

Laboratory TypePhysician Office

Certificate Effective DateJune 6, 2026

Certificate Expiration DateJune 5, 2028

Laboratory DirectorDr. Nanna Oseitutu-Ebanks

Laboratory Phone(646) 838-3560

Laboratory LocationOseitutu Family Medical, PLLC165 N Village Ave Ste 151, Rockville Centre, NY 11570

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Oseitutu Family Medical PLLC's NPI number?

The NPI number for Oseitutu Family Medical PLLC is 1528536471. It was assigned to this organization in the NPPES registry on November 8, 2018.

Where is Oseitutu Family Medical PLLC located?

Oseitutu Family Medical PLLC is located at 30 Hempstead Ave Ste 151, Rockville Centre, NY 11570. The listed phone number is (646) 838-3560.

What is Oseitutu Family Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Is Oseitutu Family Medical PLLC enrolled in Medicare?

Yes. Oseitutu Family Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oseitutu Family Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Oseitutu Family Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oseitutu Family Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2305805) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oseitutu Family Medical PLLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.