Individual provider Active NPI

Bridget Kusi-Agyapong, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1699326579
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00945000 Issued in NJ
Practice address
2087 Klockner Rd
Hamilton, NJ 08690-3416
Phone
(908) 635-6595
NPI assigned
Sep 23, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00945000 NJ Primary

Addresses

Primary practice location

2087 Klockner Rd
Hamilton, NJ 08690-3416

Mailing address

2087 Klockner Rd
Hamilton, NJ 08690-3416
Phone (609) 587-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224001581 NJ Practitioner - Nurse Practitioner 0840684437 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00945000NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Feb 14, 2022 Accepting new patients
Medical Director Services PC CurrentSince Mar 2, 2024 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Feb 14, 2022 Accepting new patients

Locations

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

Organizations & group practices 3

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1699326579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903416",
            "telephone_number": "609-587-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903416",
            "telephone_number": "908-635-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSI-AGYAPONG",
        "first_name": "BRIDGET",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00945000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.