Kwaku Ohene Asare, M
Individual provider Active NPI Internal Medicine Physician · Wallingford, CT
NPI 1962847509 · NPPES record last updated May 9, 2013
Key facts
- NPI
- 1962847509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 000 (CT)
- Practice address
- 50 Gaylord Farm Rd
Wallingford, CT 06492-2828 - Phone
- (609) 575-8821
- NPI assigned
- May 9, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care, Inc.
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700
Hospital & facility affiliations
- Bayada at Inspira, Home Health and Hospice
- Inspira Medical Center Vineland
- Inspira Medical Center Mullica Hill
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201102000593 | NJ | Practitioner - Internal Medicine | 3779727169 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current |
Accepting new patients | |
| Community Health Care, Inc. | Internal Medicine | Current |
Accepting new patients |
| The Cooper Health System | Past | Accepting new patients | |
| Inspira Medical Centers, Inc. | Past | Accepting new patients | |
| Vis a Vis at Home Medical of Ny P.C. | Internal Medicine | Past | Accepting new patients |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Heal Doctors, P.C. | Internal Medicine | Past |
Accepting new patients |
Locations
30 N Pearl St
Bridgeton, NJ 08302
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
785 W Sherman Ave
Vineland, NJ 08360
3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258
75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055
Interoperability endpoints
- kwaku.asare.p1@direct.cchn.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 000 | CT | Yes |
Addresses
Primary practice location
50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Mailing address
50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (609) 575-8821
Other providers in Wallingford, CT
- Matthew Arellano
- Subhashini Arigovindan
- Diane L Armstrong
- Patrick Michael Armstrong
- Ashley Arthur
- Aspire Family Medicine &Wellness Center, LLC
- Dylan Jared Assael
- Neslyne Belinda Augustin
- Karen E Austin
- Authentically You Counseling and Arts LLC
All providers in Wallingford, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.