Active NPI
Osagiate Prudence Ehi-Adoghe, PA-C
- Physician Assistant
- Milford, MA
National Provider Identifier
1265294284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA100328
- Practice address
- 14 Prospect St
Milford, MA 01757-3003 - Phone
- (508) 473-1190
- Fax
- (508) 334-6063
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA100328 | MA | |
| Physician Assistant | 363A00000X | PA100328 | MA | Primary |
Addresses
Primary practice location
14 Prospect St
Milford, MA 01757-3003
Mailing address
282 Washington St
Hartford, CT 06106-3322
Phone (978) 942-9478
Other practice location 1
24 Airport Rd Ste 19
West Lebanon, NH 03784-1663
Phone (603) 298-6617
Other practice location 2
282 Washington St
Hartford, CT 06106-3322
Phone (860) 837-5560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110211197A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240605001976 | CT | Practitioner - Physician Assistant | 6709328776 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1265294284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "978-942-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PROSPECT ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573003",
"telephone_number": "508-473-1190",
"fax_number": "508-334-6063"
}
],
"practiceLocations": [
{
"address_1": "24 Airport Rd Ste 19",
"address_purpose": "LOCATION",
"city": "West Lebanon",
"state": "NH",
"postal_code": "037841663",
"country_code": "US",
"telephone_number": "603-298-6617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "282 Washington St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-837-5560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EHI-ADOGHE",
"first_name": "OSAGIATE",
"middle_name": "PRUDENCE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA100328",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA100328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110211197A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.