Individual provider Active NPI

Harriet Ossei Asamoah, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1467885392
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00450500 Issued in NJ
Practice address
765 E Route 70 BLDG a
BLDG a
Marlton, NJ 08053-2341
Phone
(856) 797-4805
NPI assigned
Aug 14, 2013
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 26NJ00450500 NJ Primary

Addresses

Primary practice location

765 E Route 70 BLDG a
BLDG a
Marlton, NJ 08053-2341

Mailing address

58 Creekwood Dr
Bordentown, NJ 08505-4822
Phone (917) 302-3875

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326000273 NJ Practitioner - Nurse Practitioner 4587895032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Horizon Ctr Blvd
Suite 100
Hamilton, NJ 08691-1910
Phone (609) 479-1931

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
K Mental Wellness LLC Psychiatric/Mental Health CurrentSince May 1, 2021 Accepting new patients
Legacy Treatment Services Inc Current Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Psychiatric/Mental Health Past Accepting new patients

Locations

1289 Route 38
Ste 203
Hainesport, NJ 08036
Phone (609) 267-1377

100 Horizon Center Blvd
Ste 100
Robbinsville, NJ 08691
Phone (267) 563-8396

795 Woodlane Rd
Westampton, NJ 08060
Phone (609) 267-1377

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1467885392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CREEKWOOD DR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054822",
            "telephone_number": "917-302-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E ROUTE 70 BLDG A",
            "address_2": "BLDG A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532341",
            "telephone_number": "856-797-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAMOAH",
        "first_name": "HARRIET",
        "middle_name": "OSSEI",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00450500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.