Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Luther O Appiah, PA-C

Individual provider Physician Assistant · NPI 1821610106

Mr. Luther O Appiah, PA-C is a Physician Assistant in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

129 Waldron Ave
Staten Island, NY 10301-3618
Phone: (917) 515-4185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025592 (NY)

Record details

NPI number1821610106
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 10, 2020
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

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