Deborah Osei-Agyeman

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ14890900 Issued in NJ

Practice address

8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967

Phone

(856) 812-8089

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_doseiag@landmarkhealth-direct.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381

  NJ

  Medicare reassignment Care Compare group NPD
• Angelic Health Practice Group

  • Clinical Social Worker
  • Pleasantville, NJ
  • NPI 1639867864

  NJ

  Medicare reassignment NPD
• Angelic Primary Medicine LLC

  • Adult Medicine Physician
  • Pleasantville, NJ
  • NPI 1477199446

  Gerontology, NJ

  Medicare reassignment NPD
• Great Health Medical New Jersey PC

  • Family Medicine Physician
  • Lakewood, NJ
  • NPI 1417681008

  NJ

  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NJ

  Medicare reassignment NPD
• Angelic Health Practice Group

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pleasantville, NJ
  • NPI 1700657376
  NPD

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1124764063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SUNDROP CT",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080944630",
            "telephone_number": "973-855-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 BLACK HORSE PIKE STE 501",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322967",
            "telephone_number": "856-812-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Sundrop Ct",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080944630",
            "country_code": "US",
            "telephone_number": "973-855-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEI-AGYEMAN",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "728723-01",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14890900",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR19708300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elaine Nelson, RN
• New Beginings Recovery LLC
• New Jersey CVS Pharmacy, L.L.C.
• Next Generation Eye Care LLC
• Teresa O'Brien, DMD
• Shivam A Parikh, PHARMD
• Paul H. Goodman, D.D.S. and Jay L. Rosenberg, D.D.S., L.L.C.
• Charles Keeler Paxson, DMD
• Byrde Pettigrew, D.M.D
• Phoenix Recovery House

• All providers in Pleasantville, NJ
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.