Individual provider Active NPI

Eugenia Acheampong

  • Specialist
  • Tuckahoe, NY
National Provider Identifier
1205560414
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2935662 Issued in NY
Practice address
2 Consulate Dr Apt 4E
Tuckahoe, NY 10707-2429
Phone
(914) 704-6616
NPI assigned
Jul 13, 2022
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2935662 NY Primary

Addresses

Primary practice location

2 Consulate Dr Apt 4E
Tuckahoe, NY 10707-2429

Mailing address

2 Consulate Dr Apt 4E
Tuckahoe, NY 10707-2429
Phone (914) 704-6616

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
2935662NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1205560414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CONSULATE DR APT 4E",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072429",
            "telephone_number": "914-704-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CONSULATE DR APT 4E",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072429",
            "telephone_number": "914-704-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHEAMPONG",
        "first_name": "EUGENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2935662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.