Individual provider Active NPI

Abena P Tetteh

  • Prosthetic/Orthotic Supplier
  • Brooklyn, NY
National Provider Identifier
1639963796
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
NA Issued in NY
Practice address
13 Waverly Ave Apt 211
Brooklyn, NY 11205-1253
Phone
(347) 920-9712
NPI assigned
Apr 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X NA NY
Orthotic Fitter 225000000X NA NY
Prosthetic/Orthotic Supplier 335E00000X NA NY Primary

Addresses

Primary practice location

13 Waverly Ave Apt 211
Brooklyn, NY 11205-1253

Mailing address

285 Nostrand Ave # 1105
Brooklyn, NY 11216-4500
Phone (347) 920-9712

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": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1639963796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NOSTRAND AVE # 1105",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164500",
            "telephone_number": "347-920-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WAVERLY AVE APT 211",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051253",
            "telephone_number": "347-920-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "ABENA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NY",
            "license": "NA",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NY",
            "license": "NA",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.