Individual provider Active NPI

Eric Sintim-Aboagye, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1417655093
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027086 Issued in PA
Practice address
8001 State Road
Mod II Suite 105
Philadelphia, PA 19136
Phone
(856) 271-9249
NPI assigned
Feb 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 SP027086 PA Primary

Addresses

Primary practice location

8001 State Road
Mod II Suite 105
Philadelphia, PA 19136

Mailing address

8001 State Road
Mod II Suite 105
Philadelphia, PA 19136
Phone (856) 271-9249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260210002979 PA Practitioner - Nurse Practitioner 6901385848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027086PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC CurrentSince Dec 29, 2025 Accepting new patients
Forge Medical Group, LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

Organizations & group practices 2

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1417655093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 STATE ROAD",
            "address_2": "MOD II SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19136",
            "telephone_number": "856-271-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 STATE ROAD",
            "address_2": "MOD II SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19136",
            "telephone_number": "856-271-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINTIM-ABOAGYE",
        "first_name": "ERIC",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.