Individual provider Active NPI

Lawrence Oppong-Kyekyeku

  • Family Medicine Physician
  • Newark, NJ
National Provider Identifier
1487567186
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F360432 Issued in NY
Practice address
110 Mayor Gibson Blvd Apt 307
Newark, NJ 07104-3987
Phone
(910) 745-2412
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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 F360432 NY Primary

Addresses

Primary practice location

110 Mayor Gibson Blvd Apt 307
Newark, NJ 07104-3987

Mailing address

110 Mayor Gibson Blvd Apt 307
Newark, NJ 07104-3987
Phone (910) 745-2412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1487567186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAYOR GIBSON BLVD APT 307",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043987",
            "telephone_number": "910-745-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAYOR GIBSON BLVD APT 307",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043987",
            "telephone_number": "910-745-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG-KYEKYEKU",
        "first_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F360432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.