Healthcare Provider Details

I. General information

NPI: 1326200916
Provider Name (Legal Business Name): JASON LEVI ESSES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 E BAY DR
LONG BEACH NY
11561-2351
US

IV. Provider business mailing address

746 MIDFIELD RD
WOODMERE NY
11598-2926
US

V. Phone/Fax

Practice location:
  • Phone: 516-632-4141
  • Fax: 516-432-4154
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number248212
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: