Individual provider Active NPI

J Francis Asuquo, M.D., D.O., MPH

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1053743898
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0SO21502 Issued in PA
Practice address
2717 W Girard Ave Ste a
Philadelphia, PA 19130-1278
Phone
(304) 290-7125
NPI assigned
Aug 3, 2013
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 000000 NY
Family Medicine Physician 207Q00000X 0SO21502 PA Primary

Addresses

Primary practice location

2717 W Girard Ave Ste a
Philadelphia, PA 19130-1278

Mailing address

2717 W Girard Ave Ste a
Philadelphia, PA 19130-1278
Phone (304) 290-7125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200318000102 WV Practitioner - Family Practice 7113355579 Reassigns benefits to 1 organization
I20220222001174 FL Practitioner - Family Practice 7113355579
I20220901002539 PA Practitioner - Family Practice 7113355579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0SO21502PAMDFamily Medicine Physician
000000NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Public Welfare Single Specialty CurrentSince Oct 21, 2024 Accepting new patients
Pennsylvania Department of Human Services Single Specialty CurrentSince Oct 21, 2024 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare, Inc Single Specialty CurrentSince Apr 13, 2020 Accepting new patients
Womencare Inc Single Specialty Current Accepting new patients
Sayre Health Center Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Single Specialty CurrentSince Apr 13, 2020 Accepting new patients

Locations

1451 Hillside Dr
Clarks Summit, PA 18411
Phone (570) 857-7251

5800 Walnut St
Rear
Philadelphia, PA 19139
Phone (215) 474-4444

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

515 Main St
Madison, WV 25130
Phone (304) 369-0393

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73304
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJCDD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1053743898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 W GIRARD AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301278",
            "telephone_number": "304-290-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 W GIRARD AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301278",
            "telephone_number": "304-290-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASUQUO",
        "first_name": "J",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D., D.O., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-03",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "000000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0SO21502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.