Individual provider Active NPI

Samuel B Amponsah, APN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, NJ
National Provider Identifier
1285394262
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01240400 Issued in NJ
Practice address
1088 Highway 34
Aberdeen, NJ 07747-2705
Phone
(732) 290-1700
NPI assigned
Dec 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01240400 NJ Primary

Addresses

Primary practice location

1088 Highway 34
Aberdeen, NJ 07747-2705

Mailing address

1088 Highway 34
Aberdeen, NJ 07747-0774
Phone (732) 290-1700

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPC Behavioral Healthcare Inc 58 clinicians
Barnabas Health Medical Group, PC 257 clinicians

Practice addresses (Care Compare)

1088 Hwy 34
Matawan, NJ 07747-1948
Phone (732) 290-1700

22 Court St
Freehold, NJ 07728-1700
Phone (732) 780-7387

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-7700

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20221118002109 NJ Practitioner - Nurse Practitioner 2365810561 Reassigns benefits to 3 organizations
Practice locations: Sommerset, NJ

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Dec 9, 2023 Accepting new patients
CPC Integrated Health, Inc. CurrentSince Dec 5, 2023 Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince Dec 5, 2023 Accepting new patients
NLP Behavioral Services LLC CurrentSince Nov 21, 2022 Accepting new patients
T & K Baffour Psychiatric Recovery Center Psychiatric/Mental Health PastSince Jan 14, 2024 Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

175 Bartley Rd
Jackson, NJ 08527
Phone 73236754001439

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1088 State Route 34
Matawan, NJ 07747
Phone (732) 290-1700

3301 State Route 66
#B
Neptune, NJ 07753
Phone (732) 455-3870

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

NPI Registry JSON

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

{
    "created_epoch": "1639785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1285394262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 HIGHWAY 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077470774",
            "telephone_number": "732-290-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 HIGHWAY 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472705",
            "telephone_number": "732-290-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPONSAH",
        "first_name": "SAMUEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01240400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

Verify at the official NPI Registry.