Emmanuel Kofi Jackson Nsiah

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F405279 Issued in NY

Practice address

528 Morris Ave
Bronx, NY 10451-5509

Phone

(720) 561-0836

Fax

(888) 815-1877

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Cares NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1124814462
  Medicare reassignment NPD Authorized official
• Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1013154657
  Medicare reassignment NPD
• Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1952647430
  NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1396237202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 UVALDA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116663",
            "telephone_number": "720-561-0836",
            "fax_number": "888-815-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515509",
            "telephone_number": "720-561-0836",
            "fax_number": "888-815-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSIAH",
        "first_name": "EMMANUEL",
        "middle_name": "KOFI JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "RN1622198",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405279",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN1622198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herne Nozius, RPA-C
• Molly Nozyce
• Marie Nrekaj
• Abigael Nsenga, MD
• Belinda Nsiah
• Magdaline Roberta Ekya Nsiah, LPN
• Nicholas Nsiah
• Maxima Nsimah-Etim, MD
• Dhona Kabeya Nsubayi, SA-C
• Hilary Ntadi

• Psychiatric/Mental Health Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.