Active NPI
Akwasi Peprah Amponsah Jr., M.D.
- Pain Medicine (Anesthesiology) Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA09413100
- Practice address
- 150 Bergen St # Streete
Newark, NJ 07103 - Phone
- (973) 972-0530
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 266582 | NY | |
| Anesthesiology Physician | 207L00000X | 25MA09413100 | NJ | |
| Anesthesiology Physician | 207L00000X | ME125807 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 266582 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA09413100 | NJ | Primary |
Addresses
Primary practice location
150 Bergen St # Streete
Newark, NJ 07103
Mailing address
30 Bergen St RM 1205
Newark, NJ 07107-3000
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-6920
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-1271
799 Bloomfield Ave
Suite 303
Verona, NJ 07044-1301
Phone (973) 932-0873
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266582 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Advanced Pain Management and Wellness, LLC | Pain Medicine | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Anesthesiology | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Pain Medicine | Past | Accepting new patients |
Locations
90 Bergen St
#3400
Newark, NJ 07103
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
799 Bloomfield Ave
Ste 303
Verona, NJ 07044
Phone (973) 857-7800
Interoperability endpoints
- aamponsah44343@direct.med.miami.edu
- https://fhir4.healow.com/fhir/r4/HFDEDD/Endpoint/HFDEDD
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Verona, NJ
- NPI 1982481891
-
- Anesthesiology Physician
- Newark, NJ
- NPI 1225048820
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
-
- Pain Medicine (Anesthesiology) Physician
- Newark, NJ
- NPI 1831109420
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1750645982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BERGEN ST RM 1205",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BERGEN ST # STREETE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07103",
"telephone_number": "973-972-0530"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-585-6920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMPONSAH",
"first_name": "AKWASI",
"middle_name": "PEPRAH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "266582",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA09413100",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME125807",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "266582",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA09413100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.