Individual provider Active NPI

Cynthia Opuni Agyei

  • Adult Health Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1992227763
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00886300 Issued in NJ
Practice address
737 Northfield Ave
West Orange, NJ 07052-1103
Phone
(973) 544-8901
NPI assigned
Jul 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190125001378 NY Practitioner - Nurse Practitioner 1759628936 Reassigns benefits to 3 organizations
I20190710001110 NJ Practitioner - Nurse Practitioner 1759628936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians

Practice addresses (Care Compare)

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00886300NJMDAdult Health Nurse Practitioner
F308213NYMDAdult Health Nurse Practitioner
F308213-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elion Krok, M.D. PC CurrentSince Aug 16, 2020 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
NJ Memory and Behavioral Care CurrentSince Jun 1, 2021 Accepting new patients
Integral Health Medical PC CurrentSince Oct 4, 2022 Accepting new patients
Essen Medical Associates,PC CurrentSince Nov 24, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 24, 2018 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Nov 24, 2018 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 24, 2018 Accepting new patients
South Orange Womens Care, LLC PastSince Aug 16, 2020 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

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a908c3c1-d57b-4b71-a356-fc8946aff540/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992227763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MCCLELLAN TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524516",
            "telephone_number": "646-724-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521103",
            "telephone_number": "973-544-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 McClellan Ter",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524516",
            "country_code": "US",
            "telephone_number": "862-766-5454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 McClellan Ter",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524516",
            "country_code": "US",
            "telephone_number": "862-766-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGYEI",
        "first_name": "CYNTHIA",
        "middle_name": "OPUNI",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308213",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00886300",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F308213-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00886300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.