Individual provider Active NPI

Efua Serwaa Poku, RN

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1235971680
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F432900 Issued in NY
Practice address
177 Fort Washington Ave Apt 5JN
New York, NY 10032-3733
Phone
(212) 305-2332
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F432900 NY Primary
Medical-Surgical Registered Nurse 163WM0705X 757333 NY

Addresses

Primary practice location

177 Fort Washington Ave Apt 5JN
New York, NY 10032-3733

Mailing address

60 Morrow Ave Apt 5JN
Scarsdale, NY 10583-8142
Phone (347) 269-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250318001599 NY Practitioner - Nurse Practitioner 3678095825 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
757333NYMDMedical-Surgical Registered Nurse
F432900NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 12, 2026 Accepting new patients
New York General Medical Services PC CurrentSince Jan 12, 2026 Accepting new patients
New York University CurrentSince Mar 5, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 12, 2026 Accepting new patients
New York University CurrentSince Mar 5, 2025 Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1235971680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MORROW AVE APT 5JN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105838142",
            "telephone_number": "347-269-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE APT 5JN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-305-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKU",
        "first_name": "EFUA",
        "middle_name": "SERWAA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432900",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "757333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.