Active NPI
Afriye Amerson
- Specialist
- Cliffside Park, NJ
National Provider Identifier
1952305229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07279100
- Practice address
- 300 Gorge Rd 13
Cliffside Park, NJ 07010-2764 - Phone
- (646) 325-3993
- NPI assigned
- Jun 2, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07279100 | NJ | Primary |
Addresses
Primary practice location
300 Gorge Rd 13
Cliffside Park, NJ 07010-2764
Mailing address
300 Gorge Road
Suite 13
Cliffside Park, NJ 07010
Phone (646) 325-3993
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2809254 | Other | NJ | AETNA HMO # |
| 0298132 | Other | NJ | GHI PPO # |
| 33386 | Other | NJ | UHP # |
| 160055936 | Other | NJ | RAILROAD MCR # |
| 7223339 | Other | NJ | AETNA PPO # |
| P2640441 | Other | NJ | OXFORD PROVIDER # |
| 646E41 | Other | NJ | EMPIRE BC/BS # |
| J35676 | Other | NJ | HEALTHNET # |
| 2283211000 | Other | NJ | AMERIHEALTH # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07279100 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1952305229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GORGE ROAD",
"address_2": "SUITE 13",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "07010",
"telephone_number": "646-325-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GORGE RD 13",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102764",
"telephone_number": "646-325-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMERSON",
"first_name": "AFRIYE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-02",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07279100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO #",
"identifier": "2809254",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO #",
"identifier": "0298132",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP #",
"identifier": "33386",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR #",
"identifier": "160055936",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO #",
"identifier": "7223339",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER #",
"identifier": "P2640441",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS #",
"identifier": "646E41",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET #",
"identifier": "J35676",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH #",
"identifier": "2283211000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.