Individual provider Active NPI

Nicola Simone Amofa, RPN

  • Registered Nurse
  • Elizabeth, NJ
National Provider Identifier
1093563322
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR14941500 Issued in NJ
Practice address
1139 E Jersey St Ste 203
Elizabeth, NJ 07201-2431
Phone
(732) 226-7643
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR14941500 NJ Primary

Addresses

Primary practice location

1139 E Jersey St Ste 203
Elizabeth, NJ 07201-2431

Mailing address

1139 E Jersey St Ste 203
Elizabeth, NJ 07201-2431
Phone (732) 226-7643

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

LicenseStateTypeSpecialty
26NR14941500NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Home Healthcare Solutions LLC CurrentSince May 12, 2024 Accepting new patients

Locations

1139 E Jersey St
Ste 203
Elizabeth, NJ 07201
Phone (732) 226-7643

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.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1093563322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 203",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012431",
            "telephone_number": "732-226-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 203",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012431",
            "telephone_number": "732-226-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOFA",
        "first_name": "NICOLA",
        "middle_name": "SIMONE",
        "credential": "RPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14941500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.