Osahon Aguebor, R.T.(R)(MR)(ARRT)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

641056 Issued in NJ

Practice address

3412 Bluestone LN
East Stroudsburg, PA 18301-8116

Phone

(201) 952-6420

NPI assigned

Feb 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dynamic Mobile Xray Services LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • E Stroudsburg, PA
  • NPI 1659846863
  NPD Authorized official
• Divine Care Health Staffing LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Paramus, NJ
  • NPI 1447633219
  NPD Authorized official

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1992398531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 BLUESTONE LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018116",
            "telephone_number": "201-952-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 BLUESTONE LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018116",
            "telephone_number": "201-952-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUEBOR",
        "first_name": "OSAHON",
        "credential": "R.T.(R)(MR)(ARRT)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NJ",
            "license": "641056",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NY",
            "license": "363102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Care Internal Medicine L.L.C.
• Advanced Dental Associates of E. Stroudsburg
• Advanced Hand Orthopedic & Sports Medicine Center, L.L.C.
• Advanced Services, Inc.
• Agape Traders
• Akhtar Hussain Jadoon LLC
• Al & SP East Stroudsburg LLC
• Marie Catherine Alaio, MA, BSL
• Anudeep Alberts, MD
• Katherine H Albrecht, MS, PA-C

• Radiologic Technologist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Radiologic Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.