NPIMap

Organization Active NPI

Jackson Asmoah

Doing business as jackson asamoah

  • Long Term Care Hospital
  • Bronx, NY
National Provider Identifier
1568693414
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
571561-1 Issued in NY
Legal business name
JACKSON ASMOAH
Doing business as
jackson asamoah
Practice address
1111 Gerard Ave Apt 1a
Bronx, NY 10452
Phone
(347) 558-3176
NPI assigned
Jul 27, 2009
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Mr. Jackson Asamoah, REGISTERED NURSENPI 1568694453
Title
RN
Phone
(347) 558-3176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 571561-1 NY Primary

Addresses

Primary practice location

1111 Gerard Ave Apt 1a
Bronx, NY 10452

Mailing address

1111 Gerard Ave Apt 1a
1111 Gerard Ave Apt 1a
Bronx, NY 10452-8821
Phone (347) 558-3176

Other identifiers 1

IdentifierTypeStateIssuer
123456MedicaidNY

Other names 1

  • jackson asamoah Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1568693414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GERARD AVE APT 1A",
            "address_2": "1111 GERARD AVE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528821",
            "telephone_number": "347-558-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GERARD AVE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "347-558-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ASMOAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "ASAMOAH",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "347-558-3176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NY",
            "license": "571561-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jackson asamoah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 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.