Prince Asmah
Individual provider Active NPI Registered Nurse · Orange, NJ
NPI 1003324427 · NPPES record last updated Jan 19, 2018
Key facts
- NPI
- 1003324427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 741483 (NY)
- Practice address
- 497 Linden PL Apt 201
Orange, NJ 07050-1627 - Phone
- (973) 393-6031
- NPI assigned
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741483 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 741483 | NY | Yes |
Addresses
Primary practice location
497 Linden PL Apt 201
Orange, NJ 07050-1627
Mailing address
497 Linden PL Apt 201
Orange, NJ 07050-1627
Phone (973) 393-6031
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All providers in Orange, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.