Individual provider Active NPI

Kwame Okyere-Amofah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1811489172
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402425 Issued in NY
Practice address
1529 Williamsbridge Rd
Bronx, NY 10461
Phone
(914) 375-8700
NPI assigned
Jun 2, 2018
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402425 NY Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 619500 NY

Addresses

Primary practice location

1529 Williamsbridge Rd
Bronx, NY 10461

Mailing address

1529 Williamsbridge Rd
Bronx, NY 10461-2502

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
I20180830002086 NY Practitioner - Nurse Practitioner 4880944537 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
619500NYMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
F402425NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Aug 15, 2022 Accepting new patients
Putnam Family and Community Services Inc CurrentSince Mar 29, 2022 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jun 11, 2023 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Aug 9, 2018 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Aug 9, 2018 Accepting new patients
Hicksville Family Medical Care, PLLC Past Accepting new patients
Putnam Family and Community Services Inc PastSince Mar 29, 2022 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

579 Courtlandt Ave
Bronx, NY 10451
Phone (718) 908-8000

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

Interoperability endpoints

  • Direct secure messaging: kokyereamofah1346310@nychhc.direct-ci.com
  • Direct secure messaging: kokyereamofah68865@direct.garnethealth.org

Organizations & group practices 7

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": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1811489172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "914-375-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKYERE-AMOFAH",
        "first_name": "KWAME",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402425",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "619500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.