Active NPI
Emilia Addo, MSN RNC APRN BC FNP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1851379762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F333767
- Practice address
- 120 E 16TH St
Irving Place Dialysis Unit
New York, NY 10003-2103 - Phone
- (212) 844-8612
- Fax
- (212) 844-5885
- NPI assigned
- Jan 3, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F333767 | NY | Primary |
Addresses
Primary practice location
120 E 16TH St
Irving Place Dialysis Unit
New York, NY 10003-2103
Mailing address
616 Balis Dr
Mullica Hill, NJ 08062-2849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F 333767 | Other | NY | NYS LIC |
Other names 1
- Mrs. Emilia Addo-Bortey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333767 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851379762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 BALIS DR",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080622849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 16TH ST",
"address_2": "IRVING PLACE DIALYSIS UNIT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032103",
"telephone_number": "212-844-8612",
"fax_number": "212-844-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDO",
"first_name": "EMILIA",
"name_prefix": "Mrs.",
"credential": "MSN RNC APRN BC FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F333767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LIC",
"identifier": "F 333767",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILIA",
"last_name": "ADDO-BORTEY",
"prefix": "MRS.",
"credential": "F.N.P",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.