JACKSON ASMOAH NPI 1568693414

NPI Information

NPI: 1568693414
Provider Name: JACKSON ASMOAH
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Doing Business As: JACKSON ASAMOAH
Address: 1111 GERARD AVE APT 1A
BRONX, NY
ZIP 10452
Phone: (347) 558-3176

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NPI Details

JACKSON ASMOAH is a long term care hospital in Bronx, NY. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. JACKSON ASMOAH NPI is 1568693414. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Asamoah.

The provider's business location address is:

1111 GERARD AVE APT 1A
BRONX, NY
ZIP 10452
Phone: (347) 558-3176

The provider's authorized official is Jackson Asamoah .
The authorized official title is Rn and has the following contact phone number (347) 558-3176.

The enumeration date for this NPI number is 7/27/2009 and was last updated on 7/27/2009.

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	282E00000X	Long Term Care Hospital		571561-1	NEW YORK	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	123456	MEDICAID	NEW YORK

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: 11/21/2025

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