Individual provider Active NPI

Kwabena Barimah Owusu-Dapaah, M.D.

  • Specialist
  • Somerset, NJ
National Provider Identifier
1215091376
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60340 Issued in NJ
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6402909MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000031 NJ Practitioner - Emergency Medicine 1052379864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
87.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60340NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of St Marys LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Pinnacle Emergency Physicians Associates LLC Emergency Medicine CurrentSince Jun 2, 2025 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.

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

Verify at the official NPI Registry.