NPIMap

Organization Active NPI

Kwabena Owusu-Dapaah, MD PC.

  • Clinic/Center
  • Somerset, NJ
National Provider Identifier
1962595298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MAO60340 Issued in NJ
Legal business name
KWABENA OWUSU-DAPAAH, MD PC.
Practice address
710 Easton Ave
Suite 1a
Somerset, NJ 08873-1855
Phone
(732) 246-1960
Fax
(732) 246-3141
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kwabena Owusu-DapaahNPI 1215091376
Title
President
Phone
(732) 246-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MAO60340 NJ Primary

Addresses

Primary practice location

710 Easton Ave
Suite 1a
Somerset, NJ 08873-1855

Mailing address

710 Easton Ave
Suite 1a
Somerset, NJ 08873-1855
Phone (732) 246-1960

Other identifiers 1

IdentifierTypeStateIssuer
6402909MedicaidNJ

National Provider Directory

National Provider Directory

Locations

710 Easton Ave
Ste 1A
Somerset, NJ 08873
Phone (732) 246-1960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962595298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 EASTON AVE",
            "address_2": "SUITE 1A",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731855",
            "telephone_number": "732-246-1960",
            "fax_number": "732-246-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 EASTON AVE",
            "address_2": "SUITE 1A",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731855",
            "telephone_number": "732-246-1960",
            "fax_number": "732-246-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWABENA OWUSU-DAPAAH, MD PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWUSU-DAPAAH",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-246-1960",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MAO60340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.