Individual provider Active NPI

Yaw Ofori-Behome, MD

  • Family Medicine Physician
  • South Amboy, NJ
National Provider Identifier
1427216746
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08696000 Issued in NJ
Practice address
135 S Broadway Ste a-4
South Amboy, NJ 08879-1762
Phone
(732) 727-4900
Fax
(732) 727-4902
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08696000 NJ Primary

Addresses

Primary practice location

135 S Broadway Ste a-4
South Amboy, NJ 08879-1762

Mailing address

135 S Broadway Ste a-4
South Amboy, NJ 08879-1762
Phone (732) 727-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000127 NJ Practitioner - Family Practice 8527244805 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Emergency Medicine Associates, PC CurrentSince Aug 20, 2011 Accepting new patients
Freehold Hospitalists, LLC CurrentSince Sep 15, 2012 Accepting new patients
Arthritis and Osteoporosis Associates PastSince Aug 12, 1995 Accepting new patients
Freehold Observationalist Physicians, PC Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1427216746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S BROADWAY STE A-4",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791762",
            "telephone_number": "732-727-4900",
            "fax_number": "732-727-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BROADWAY STE A-4",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791762",
            "telephone_number": "732-727-4900",
            "fax_number": "732-727-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFORI-BEHOME",
        "first_name": "YAW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08696000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

Verify at the official NPI Registry.