Individual provider Active NPI

Emmanuel K. Ohemeng Jr., D.P.M.

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1558460550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC 003524 L Issued in PA
Practice address
5922 N Broad St FL 1
Philadelphia, PA 19141-1802
Phone
(215) 224-7778
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC 003524 L PA Primary

Addresses

Primary practice location

5922 N Broad St FL 1
Philadelphia, PA 19141-1802

Mailing address

6 Asbury Ave
Melrose Park, PA 19027-2918

Other identifiers 2

IdentifierTypeStateIssuer
0508116000OtherPAINDEPENDENCE BCBS
0124221101MedicaidPA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121109000406 PA Practitioner - Podiatry 2668623174 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SC 003524 LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jul 14, 2025 Accepting new patients
Nasira Y Majid MD a Medical Corporation PastSince Jan 1, 2019 Accepting new patients
G.O. Medical Associates Past Accepting new patients
Excel Medical Center PastSince Feb 17, 2020 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/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, 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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558460550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ASBURY AVE",
            "city": "MELROSE PARK",
            "state": "PA",
            "postal_code": "190272918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 N BROAD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411802",
            "telephone_number": "215-224-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHEMENG",
        "first_name": "EMMANUEL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC 003524 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BCBS",
            "identifier": "0508116000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124221101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.