Active NPI
Michael Mensah
- Licensed Practical Nurse
- South Amboy, NJ
National Provider Identifier
1235993114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 26NP08079000
- Practice address
- 901 Ernston Rd
South Amboy, NJ 08879-2000 - Phone
- (844) 242-7956
- NPI assigned
- Feb 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NP08079000 | NJ | Primary |
Addresses
Primary practice location
901 Ernston Rd
South Amboy, NJ 08879-2000
Mailing address
901 Ernston Rd
South Amboy, NJ 08879-2000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NP08079000 | NJ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1235993114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 ERNSTON RD",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088792000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ERNSTON RD",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088792000",
"telephone_number": "844-242-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSAH",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "26NP08079000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Amboy, NJ
- Andrew Jon McNulty, PSY.D.
- Med-X @Home (ambi-net transportation)
- Med-X at Home
- Medex Diagnostic
- Natalie E Menendez
- Metropolitan Surgical Institute, LLC
- MGT Physical Therapy LLC
- Mid Jersey Resp. Associates, Medical Supplies & Clinical SVCS., Inc (Mjra)
- Middlesex Community Health Center Inc
- Mobile Life Support Services . Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.