Individual provider Active NPI

Akwasi Peprah Amponsah Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Newark, NJ
National Provider Identifier
1750645982
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA09413100 Issued in NJ
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

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001948 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 9032343843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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

LicenseStateTypeSpecialty
266582NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Pain Management and Wellness, LLC Pain Medicine CurrentSince Feb 4, 2024 Accepting new patients
University Physician Associates of New Jersey Inc Anesthesiology CurrentSince Nov 20, 2019 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Nov 20, 2019 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

  • Direct secure messaging: aamponsah44343@direct.med.miami.edu
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.