Individual provider Active NPI

Rayfred Josephine Ansah, RN

  • Home Health Registered Nurse
  • Hackensack, NJ
National Provider Identifier
1073206397
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
HP0348200 Issued in NJ
Practice address
11 State St Unit 202
Hackensack, NJ 07601-5429
Phone
(201) 402-9550
Fax
(201) 402-9549
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
HP0348200NJMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Total Homecare Services LLC. CurrentSince Jun 4, 2023 Accepting new patients

Locations

11 State St
Unit 202
Hackensack, NJ 07601
Phone (201) 402-9550

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X HP0348200 NJ Primary

Addresses

Primary practice location

11 State St Unit 202
Hackensack, NJ 07601-5429

Mailing address

11 State St Unit 202
Hackensack, NJ 07601-5429
Phone (201) 402-9550

Other names 1

  • Rayfred Afia Asimah Former name

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1073206397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STATE ST UNIT 202",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015429",
            "telephone_number": "201-402-9550",
            "fax_number": "201-402-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STATE ST UNIT 202",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015429",
            "telephone_number": "201-402-9550",
            "fax_number": "201-402-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSAH",
        "first_name": "RAYFRED",
        "middle_name": "JOSEPHINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "HP0348200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYFRED",
            "last_name": "ASIMAH",
            "middle_name": "AFIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.