Active NPI
Kwabena Barimah Owusu-Dapaah, M.D.
- Specialist
- Somerset, NJ
National Provider Identifier
1215091376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60340
- Practice address
- 710 Easton Ave Ste 1a
Somerset, NJ 08873-1855 - Phone
- (732) 246-1960
- Fax
- (732) 246-3141
- NPI assigned
- Dec 21, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA60340 | NJ | Primary |
| Emergency Medicine Physician | 207P00000X | 25MA06034000 | NJ |
Addresses
Primary practice location
710 Easton Ave Ste 1a
Somerset, NJ 08873-1855
Mailing address
710 Easton Ave Ste 1a
Somerset, NJ 08873-1855
Phone (732) 246-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6402909 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.47 of 100
- Quality
- 87.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60340 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Associates of St Marys LLC | Emergency Medicine | Current | Accepting new patients |
| Pinnacle Emergency Physicians Associates LLC | Emergency Medicine | Current | Accepting new patients |
Locations
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Passaic, NJ
- NPI 1477063329
-
- Emergency Medicine Physician
- Denville, NJ
- NPI 1508664871
-
- Emergency Medicine Physician
- Denville, NJ
- NPI 1366517856
-
- Clinic/Center
- Somerset, NJ
- NPI 1962595298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1215091376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 EASTON AVE STE 1A",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731855",
"telephone_number": "732-246-1960",
"fax_number": "732-246-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EASTON AVE STE 1A",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731855",
"telephone_number": "732-246-1960",
"fax_number": "732-246-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWUSU-DAPAAH",
"first_name": "KWABENA",
"middle_name": "BARIMAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA60340",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA06034000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6402909",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.