Augustine Kwaku Agyekum

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Practice address

1815 Blackberry LN
Gladwyne, PA 19035-1101

Phone

(877) 225-0316

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Toxicity Assessors Global of Pennsylvania

  dba ToxGlobal Diagnostics

  • Point of Service
  • Santa Monica, CA
  • NPI 1710508585
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1679271670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 7TH ST APT 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032735",
            "telephone_number": "215-779-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BLACKBERRY LN",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351101",
            "telephone_number": "877-225-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEKUM",
        "first_name": "AUGUSTINE",
        "middle_name": "KWAKU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lewallen Aibel
• Rowshan Z Alavi, M.D.
• Merle Bari, MD
• Andrew J Bauer, LMFT
• Catherine Marie Bryan, DNP, MSN, PMHCNS-BC

• Point of Service in Gladwyne, PA
• Providers in Gladwyne, PA by specialty
• Point of Service in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.