KOJO SASAH CRNP NPI 1306355755

NPI Information

NPI: 1306355755
Provider Name: KOJO SASAH, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
90 BRICK RD FL 3
MARLTON, NJ
ZIP 08053
Phone: (856) 355-6000
Get Directions

Kojo Sasah, CRNP is a gerontology nurse practitioner in Marlton, NJ with 2 years of experience. Kojo Sasah, CRNP NPI is 1306355755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

90 BRICK RD FL 3
MARLTON, NJ
ZIP 08053-177
Phone: (856) 355-6000

The NPI 1306355755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 1/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		SP017918	PENNSYLVANIA	No
2	363L00000X	Nurse Practitioner		26NJ14906800	NEW JERSEY	No
3	363LG0600X	Nurse Practitioner	Gerontology	SP017918	PENNSYLVANIA	No
4	363LG0600X	Nurse Practitioner	Gerontology	26NJ14906800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103474880	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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