Individual provider Active NPI

Michael Asante, NP

  • Primary Care Nurse Practitioner
  • Pennsauken, NJ
National Provider Identifier
1831919653
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP030416 Issued in PA
Practice address
5101 N Park Dr
Pennsauken, NJ 08109-4643
Phone
(856) 665-8844
NPI assigned
Oct 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP030416 PA
Primary Care Nurse Practitioner 363LP2300X SP030416 PA Primary

Addresses

Primary practice location

5101 N Park Dr
Pennsauken, NJ 08109-4643

Mailing address

909 Bristol Pike Apt F8
Croydon, PA 19021-6211
Phone (267) 322-0513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20241125001321 NJ Practitioner - Nurse Practitioner 8123553377 Reassigns benefits to 1 organization
I20241230000634 PA Practitioner - Nurse Practitioner 8123553377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Care Medical Associates P CGroup PAC ID 2860559812, 16 clinicians

Practice addresses (Care Compare)

100 N Buckstown Rd
Suite E 206
Langhorne, PA 19047-1815
Phone (215) 741-1963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030416PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Sep 14, 2024 Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince Nov 20, 2024 Accepting new patients

Locations

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

250 Skillman St
Ste 202
Brooklyn, NY 11205

9209 Ridge Pike
Lafayette Hill, PA 19444
Phone (610) 825-6560

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

2990 Holme Ave
Philadelphia, PA 19136
Phone (215) 335-2100

8350 Roosevelt Blvd
Ste B
Philadelphia, PA 19152

8350 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 331-6878

Organizations & group practices 2

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": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1831919653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BRISTOL PIKE APT F8",
            "city": "CROYDON",
            "state": "PA",
            "postal_code": "190216211",
            "telephone_number": "267-322-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N PARK DR",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094643",
            "telephone_number": "856-665-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTE",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP030416",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP030416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

Verify at the official NPI Registry.