MEDICARE: EGO WORKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	335G00000X	Medical Foods Supplier
3	174200000X	Meals Provider
4	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1528904174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EGO WORKS LLC

Provider Business Mailing Address
First Line	:	3119 NEWTOWN AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1391
Country	:	US
Telephone Number	:	929-487-3621
Fax Number	:

Provider Business Practice Location Address
First Line	:	3119 NEWTOWN AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1391
Country	:	US
Telephone Number	:	929-487-3621
Fax Number	:

Authorized Official
Title or Position	:	CLO
Name	:	STEVEN SUSANTYO
Credential	:
Telephone Number	:	929-487-3621

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	06/09/2026

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Directions to “EGO WORKS LLC ” Practice Location

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