NYEMO E MBENNAH MD
NPI 1861072696
Student in an Organized Health Care Education/Training Program in Forest Hills, NY

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
10201 66TH RD, FOREST HILLS, NY 11375(651) 706-3995 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nyemo E Mbennah Md NPPES

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

NYEMO E MBENNAH MD (NPI 1861072696) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861072696
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNYEMO E MBENNAHCredential: MD
Location Address10201 66TH RDForest Hills, NY 11375-2029
Mailing Address2463 Nw 175th StMiami Gardens, FL 33056-4542 · (651) 706-3995
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMay 10, 2021
NPI 1861072696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
10201 66TH RD, Forest Hills, NY 11375

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nyemo E Mbennah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698272961
PECOS Enrollment IDI20251010003275
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.

Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Specialist
10201 66TH RD
FOREST HILLS, NY 11375
Internal Medicine (Critical Care Medicine)
10201 66TH RD
FOREST HILLS, NY 11375
Surgery (Vascular Surgery)
10201 66TH RD
FOREST HILLS, NY 11375
Emergency Medicine
10201 66TH RD, MEDICAL STAFF OFFICE
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Radiology (Diagnostic Radiology)
10201 66TH RD, RADIOLOGY DEPARTMENT
FOREST HILLS, NY 11375

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 Nyemo Mbennah's NPI number?

The NPI number for Nyemo Mbennah is 1861072696. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Nyemo Mbennah located?

Nyemo Mbennah practices at 10201 66th Rd, Forest Hills, NY 11375. The listed phone number is (651) 706-3995.

What is Nyemo Mbennah's specialty?

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

Is Nyemo Mbennah enrolled in Medicare?

Yes. Nyemo Mbennah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nyemo Mbennah was last updated on May 10, 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.