Cynthia Opuni Agyei
Individual provider Active NPI Adult Health Nurse Practitioner · West Orange, NJ
NPI 1992227763 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1992227763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00886300 (NJ)
- Practice address
- 737 Northfield Ave
West Orange, NJ 07052-1103 - Phone
- (973) 544-8901
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NJ Memory and Behavioral Care
Practice addresses (Care Compare)
14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190125001378 | NY | Practitioner - Nurse Practitioner | 1759628936 | Reassigns benefits to 3 organizations |
| I20190710001110 | NJ | Practitioner - Nurse Practitioner | 1759628936 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308213 | NY | MD | Adult Health Nurse Practitioner |
| F308213-1 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Health Medical PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Elion Krok, M.D. PC | Current |
Accepting new patients | |
| Essen Medical Associates,PC | Current |
Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current |
Accepting new patients | |
| NJ Memory and Behavioral Care | Current |
Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| South Orange Womens Care, LLC | Past |
Accepting new patients |
Locations
14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335
737 Northfield Ave
West Orange, NJ 07052
Phone (973) 544-8901
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a908c3c1-d57b-4b71-a356-fc8946aff540/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F308213 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00886300 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | F308213-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00886300 | NJ | Yes |
Addresses
Primary practice location
737 Northfield Ave
West Orange, NJ 07052-1103
Mailing address
2 McClellan Ter
West Orange, NJ 07052-4516
Phone (646) 724-2883
Other practice location 1
2 McClellan Ter
West Orange, NJ 07052-4516
Phone (862) 766-5454
Other practice location 2
2 McClellan Ter
West Orange, NJ 07052-4516
Phone (862) 766-5454
Other providers in West Orange, NJ
- Aeg Medical Solutions Inc.
- Aeleft Health, PC
- Affiliated Eye Surgeons Northern New Jersey P a
- Affiliates in Gastroenterology PA
- Khristine J Aguinaldo
- Rami Ahmed
- Shereen Ahmed
- Olufunmilayo A Aiyegbo
- Omobola Akinboade
- Jessica Akunna
All providers in West Orange, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.