Adzowo Akpedze Fafa Sam Gone

Primary specialty

MidwifeTaxonomy code 176B00000X

License

001958 Issued in NY

Practice address

900 W Main St Ste 3
Freehold, NJ 07728-2523

Phone

(732) 308-2255

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1306572227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 108TH ST APT 10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293828",
            "telephone_number": "646-525-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST STE 3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282523",
            "telephone_number": "732-308-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM GONE",
        "first_name": "ADZOWO AKPEDZE FAFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "NY",
            "license": "001958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Curemed",
            "affiliation": "N",
            "endpointDescription": "Curemed",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Curemed",
            "address_1": "900 W Main St Ste 3",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saker Shoprite'S Inc
• Saker Shoprites Inc.
• Bahy Salama, RPH
• Michael Salvador
• Salvatore Bernardo, Jr., M.D., P.a.
• Sam'S Club Optical
• Samantha M. Eisenberg, D.D.S., P.C.
• Sameh Girgis LLC
• Elzbieta Samojluk, CRNA
• Marisol Samol, LCSW

• Midwife in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Midwife in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.