Individual provider Active NPI

Kwame K Ankoma

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1699473306
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404776 Issued in NY
Practice address
120 Aldrich St Apt 16D
Bronx, NY 10475-4510
Phone
(917) 432-4634
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404776 NY Primary

Addresses

Primary practice location

120 Aldrich St Apt 16D
Bronx, NY 10475-4510

Mailing address

120 Aldrich St Apt 16D
Bronx, NY 10475-4510
Phone (917) 432-4634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230915000255 NY Practitioner - Nurse Practitioner 4789048372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Association for Services for the AgedGroup PAC ID 7810886264, 6 clinicians

Practice addresses (Care Compare)

1490 Southern Blvd
Bronx, NY 10460-6262
Phone (718) 365-4044

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Association for Services for the Aged CurrentSince Dec 23, 2024 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Aug 7, 2023 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Psychiatric/Mental Health CurrentSince Aug 7, 2023 Accepting new patients
Jewish Association for Services for the Aged PastSince May 25, 2025 Accepting new patients
Jewish Board of Family and Children's Services, Inc Past Accepting new patients

Locations

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

910 E 172nd St
Fl 1
Bronx, NY 10460

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

247 W 37th St
Fl 9
New York, NY 10018
Phone (212) 273-5200

Organizations & group practices 5

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1699473306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALDRICH ST APT 16D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754510",
            "telephone_number": "917-432-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ALDRICH ST APT 16D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754510",
            "telephone_number": "917-432-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKOMA",
        "first_name": "KWAME",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.