Active NPI
Philip Adjapong
- Medical-Surgical Registered Nurse
- New York, NY
National Provider Identifier
1053181180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 80531401
- Practice address
- 463 Fashion Ave FL 18
New York, NY 10018-7760 - Phone
- (212) 582-9100
- NPI assigned
- Jan 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 80531401 | NY | Primary |
Addresses
Primary practice location
463 Fashion Ave FL 18
New York, NY 10018-7760
Mailing address
900 Co Op City Blvd Apt 18a
Bronx, NY 10475-1611
Phone (267) 632-5805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80531401 | NY | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1053181180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CO OP CITY BLVD APT 18A",
"city": "BRONX",
"state": "NY",
"postal_code": "104751611",
"telephone_number": "267-632-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 FASHION AVE FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187760",
"telephone_number": "212-582-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADJAPONG",
"first_name": "PHILIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "80531401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.