Individual provider Active NPI

Charles Kofi Hirons Tagoe

  • Registered Nurse
  • New York, NY
National Provider Identifier
1962384230
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
957030 Issued in NY
Practice address
1767 Park Ave FL 2
New York, NY 10035-1923
Phone
(212) 663-3000
NPI assigned
Jul 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 957030 NY Primary

Addresses

Primary practice location

1767 Park Ave FL 2
New York, NY 10035-1923

Mailing address

533 Tinton Ave Apt 32
Bronx, NY 10455-4552
Phone (347) 210-9581

Other practice location 1

290 Lenox Ave Fl 3
New York, NY 10027-4991
Phone (212) 663-3000

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

State licenses

LicenseStateTypeSpecialty
957030NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1962384230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 TINTON AVE APT 32",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554552",
            "telephone_number": "347-210-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351923",
            "telephone_number": "212-663-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Lenox Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274991",
            "country_code": "US",
            "telephone_number": "212-663-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGOE",
        "first_name": "CHARLES",
        "middle_name": "KOFI HIRONS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "957030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2025; 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.