Individual provider Active NPI

Prince E Tawiah Aggor, RN

  • General Practice Registered Nurse
  • Bronx, NY
National Provider Identifier
1871176487
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
811437 Issued in NY
Practice address
405 Olmstead Ave
Bronx, NY 10473-1603
Phone
(702) 573-7158
NPI assigned
May 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 811437 NY Primary

Addresses

Primary practice location

405 Olmstead Ave
Bronx, NY 10473-1603

Mailing address

85 Burwood Ave # 2
Stamford, CT 06902-7702
Phone (702) 573-7158

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
811437NYMDGeneral Practice Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1871176487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BURWOOD AVE # 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027702",
            "telephone_number": "702-573-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OLMSTEAD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731603",
            "telephone_number": "702-573-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWIAH AGGOR",
        "first_name": "PRINCE",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "811437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.