Individual provider Active NPI

Oheneba Amposah

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1497080535
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
287859 Issued in NY
Practice address
1075 Grand Concourse
119B
Bronx, NY 10452-9029
Phone
(718) 681-6767
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287859 NY Primary

Addresses

Primary practice location

1075 Grand Concourse
119B
Bronx, NY 10452-9029

Mailing address

1075 Grand Concourse
119B
Bronx, NY 10452-9029
Phone (718) 681-6767

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1497080535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 GRAND CONCOURSE",
            "address_2": "119B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104529029",
            "telephone_number": "718-681-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 GRAND CONCOURSE",
            "address_2": "119B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104529029",
            "telephone_number": "718-681-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPOSAH",
        "first_name": "OHENEBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "287859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.