Individual provider Active NPI

Akofa F. Apedo

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1346545456
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305282-1 Issued in NY
Practice address
121 E Clarke PL
Apt 4D
Bronx, NY 10452-7653
Phone
(917) 400-1330
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 541776-1 NY
Gerontology Nurse Practitioner 363LG0600X F340763 NY
Adult Health Nurse Practitioner 363LA2200X F305282-1 NY Primary

Addresses

Primary practice location

121 E Clarke PL
Apt 4D
Bronx, NY 10452-7653

Mailing address

9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343-9664
Phone (845) 234-8977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, NH, RI, MA, NJ, WA, CT8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20110610000038 NY Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 2 organizations
I20260609002763 ME Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 3 organizations
I20260609003071 NH Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 1 organization
I20260609003112 RI Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 1 organization
I20260611004075 MA Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 1 organization
I20260616000419 NJ Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 1 organization
I20260618000217 WA Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 1 organization
I20260624003429 CT Practitioner - Nurse Practitioner 6608053111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Practice addresses (Care Compare)

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

23 Fair St
Bristol, CT 06010-5531
Phone (212) 734-6621

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (212) 734-6621

300 Spring St
Westbrook, ME 04092-3915
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
541776-1NYMDHome Health Registered Nurse
F305282-1NYMDAdult Health Nurse Practitioner
F340763NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aken May Nurse Practitioner in Adult Health and Nurse Practitioner in Gerontology PLLC Adult Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aapedo@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1346545456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "845-234-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E CLARKE PL",
            "address_2": "APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104527653",
            "telephone_number": "917-400-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APEDO",
        "first_name": "AKOFA",
        "middle_name": "F.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "541776-1",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340763",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305282-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.