Individual provider Active NPI

Portia Asafo Adjei

  • Registered Nurse
  • Cedar Grove, NJ
National Provider Identifier
1235919762
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR25253100 Issued in NJ
Practice address
912 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1264
Phone
(631) 645-1185
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR25253100 NJ Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 26NR25253100 NJ

Addresses

Primary practice location

912 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1264

Mailing address

346 E 37TH St
Paterson, NJ 07504-1310
Phone (631) 645-1185

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
26NR25253100NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Home and Community Care Services CurrentSince Oct 8, 2023 Accepting new patients
Lifestyle Homecare Services CurrentSince Oct 8, 2023 Accepting new patients

Locations

912 Pompton Ave
Ste B2
Cedar Grove, NJ 07009
Phone (631) 645-1185

Organizations & group practices 2

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1235919762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 E 37TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041310",
            "telephone_number": "631-645-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091264",
            "telephone_number": "631-645-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAFO ADJEI",
        "first_name": "PORTIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR25253100",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NR25253100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.