Individual provider Active NPI

Justina Acquah

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1245784693
Registry record updated Aug 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
587114 Issued in NY
Practice address
1150 Tiffany St
Apt 5E
Bronx, NY 10459-2595
Phone
(646) 641-4453
NPI assigned
Aug 14, 2016
Sex
Female
Sole proprietor
Yes

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
587114NYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 587114 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1150 Tiffany St
Apt 5E
Bronx, NY 10459-2595

Mailing address

1150 Tiffany St
Apt 5E
Bronx, NY 10459-2595
Phone (646) 641-4453

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2016.

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471132800000",
    "number": "1245784693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 TIFFANY ST",
            "address_2": "APT 5E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592595",
            "telephone_number": "646-641-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 TIFFANY ST",
            "address_2": "APT 5E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592595",
            "telephone_number": "646-641-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUAH",
        "first_name": "JUSTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "587114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; 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.