Jude Opoku-Agyeman, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

OS019567 Issued in PA

Practice address

19 Montgomery Ave
Bala Cynwyd, PA 19004-2672

Phone

(610) 667-1888

NPI assigned

Aug 16, 2012

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Emergency Medicine - E. Erie A

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Philadelphia, PA
  • NPI 1144864547
  Medicare reassignment NPD
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Ophthalmology - Newtown Yardley

  • Ophthalmology Physician
  • Newtown, PA
  • NPI 1548141997
  NPD
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Oncology - E. Erie Avenue

  • Pediatric Hematology & Oncology Physician
  • Philadelphia, PA
  • NPI 1568006070
  NPD
• Delaware Valley Aesthetics, LLC

  • Medical Specialty Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1124350541
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1619225091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042672",
            "telephone_number": "610-667-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042672",
            "telephone_number": "610-667-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU-AGYEMAN",
        "first_name": "JUDE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "OS019567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quamir T Oliver
• Nurat Olamitan Olukanni, RN
• Open Mr Inc.
• Ophthalmic Partners of Pennsylvania, PC
• Ophthalmic Partners PC
• Ira Orchin, PHD
• Charles F Orellana, MD
• Orthopedic & Hand Specialists, PC
• Colleen Osborne
• PA Medical Services PLLC

• Plastic Surgery Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.