Individual provider Active NPI

Kwame Bonsu Awuah, RPA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1356486914
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
009643-1 Issued in NY
Practice address
521 W 42ND St
New York, NY 10036-6203
Phone
(212) 695-4444
Fax
(929) 200-8895
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 009643-1 NY Primary

Addresses

Primary practice location

521 W 42ND St
New York, NY 10036-6203

Mailing address

260 53Rd St
Brooklyn, NY 11220-1717
Phone (347) 248-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040708001505 NY Practitioner - Physician Assistant 9537147350 Reassigns benefits to 4 organizations
I20220628000160 NJ Practitioner - Physician Assistant 9537147350 Reassigns benefits to 3 organizations
I20240731004032 CT Practitioner - Physician Assistant 9537147350

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians
Everyday Urgent Care LLCGroup PAC ID 2668883281, 4 clinicians

Practice addresses (Care Compare)

1169 Liberty Ave
Brooklyn, NY 11208-3308
Phone (646) 604-8180

436 Utica Ave
Brooklyn, NY 11213-5903
Phone (646) 604-8150

61 W Pleasant Ave
Maywood, NJ 07607-1334
Phone (201) 720-6560

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

916 Flatbush Ave
Brooklyn, NY 11226-4018
Phone (646) 604-8140

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009643-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2025 Accepting new patients
Long Island College Hospital Past Accepting new patients
Hicksville Family Medical Care, PLLC Past Accepting new patients
Jersey Irish Medical Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
DRX Paramus, LLC PastSince Dec 17, 2023 Accepting new patients

Locations (25 of 26)

501 Washington Ave
Belleville, NJ 07109
Phone (862) 762-0585

220 Bloomfield Ave
Bloomfield, NJ 07003

889 Allwood Rd
Clifton, NJ 07012
Phone (973) 778-6800

3130 State Route 10
Denville, NJ 07834
Phone (973) 319-4230

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

2 Broadway
Hillsdale, NJ 07642
Phone (201) 523-9222

276 Passaic Ave
Kearny, NJ 07032

1020 W Edgar Rd
Linden, NJ 07036
Phone (908) 275-5922

269 US Highway 46
Little Ferry, NJ 07643
Phone (201) 719-9371

2 Memorial Dr
Lodi, NJ 07644
Phone (551) 837-2051

352 Ryders Ln
Milltown, NJ 08850
Phone (732) 638-1990

1286 Springfield Ave
New Providence, NJ 07974
Phone (908) 402-3338

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1120 US Highway 9
Old Bridge, NJ 08857
Phone (732) 200-7800

67 E Ridgewood Ave
#C
Paramus, NJ 07652
Phone (201) 262-2010

1160 US Highway 46
Parsippany, NJ 07054
Phone (973) 313-8484

1107 Convery Blvd
Perth Amboy, NJ 08861
Phone (732) 442-0037

1225 US Highway 22
Phillipsburg, NJ 08865

1315 Stelton Rd
Piscataway, NJ 08854
Phone (732) 339-3690

704 Morris Tpke
Short Hills, NJ 07078
Phone (973) 379-8771

120 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 271-1220

278 Route 10
Succasunna, NJ 07876
Phone (624) 775-2888

278 State Route 10 W
Succasunna, NJ 07876

Organizations & group practices 11

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1356486914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201717",
            "telephone_number": "347-248-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366203",
            "telephone_number": "212-695-4444",
            "fax_number": "929-200-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUAH",
        "first_name": "KWAME",
        "middle_name": "BONSU",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009643-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.