Individual provider Active NPI

Patience Ampofo

  • Psychiatric/Mental Health Registered Nurse
  • Fort Lee, NJ
National Provider Identifier
1720797145
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NJ15132300 Issued in NJ
Practice address
1 Bridge PLZ N Ste 675
Fort Lee, NJ 07024-7112
Phone
(201) 345-7427
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X F404386 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15132300 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NJ15132300 NJ Primary

Addresses

Primary practice location

1 Bridge PLZ N Ste 675
Fort Lee, NJ 07024-7112

Mailing address

77 S Main St
New City, NY 10956-3511
Phone (845) 634-5729

Other practice location 1

77 S Main St
New City, NY 10956-3511
Phone (347) 221-6133

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address pampofo@live.com
Direct Messaging Address pampofo@live.com
Direct Messaging Address pampofo@live.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230814002210 NY Practitioner - Nurse Practitioner 2365804937 Reassigns benefits to 2 organizations
I20241204004688 NJ Practitioner - Nurse Practitioner 2365804937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VCS IncGroup PAC ID 4486839511, 6 clinicians

Practice addresses (Care Compare)

77 S Main St
New City, NY 10956-3511
Phone 8456345729321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15132300NJMDPsychiatric/Mental Health Registered Nurse
F404386NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Place LLC CurrentSince Jun 14, 2023 Accepting new patients
VCS Inc. CurrentSince Aug 1, 2025 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2024 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

1 Bridge Plz N
Ste 675
Fort Lee, NJ 07024
Phone (201) 345-7427

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

583 State Route 32
Ste 5U
Highland Mills, NY 10930
Phone (845) 827-6680

583 State Route 32
Highland Mls, NY 10930
Phone (845) 203-1400

77 S Main St
New City, NY 10956
Phone (845) 634-5729

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1720797145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563511",
            "telephone_number": "845-634-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 675",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247112",
            "telephone_number": "201-345-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 S Main St",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109563511",
            "country_code": "US",
            "telephone_number": "347-221-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMPOFO",
        "first_name": "PATIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404386",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15132300",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15132300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pampofo@live.com",
            "affiliation": "N",
            "address_1": "77 S Main St",
            "city": "New City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109563511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pampofo@live.com",
            "affiliation": "N",
            "address_1": "1 Bridge Plz N Ste 675",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070247112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pampofo@live.com",
            "affiliation": "N",
            "address_1": "1 Bridge Plz N Ste 675",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070247112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.