CRYSTAL AMOAH (NPI# 1053856138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053856138 |
| Entity Type | Individual |
| Full Name | CRYSTAL AMOAH |
| Practice Address |
1423 Capitol Trail Building 3 Newark DE 19711 |
| Mailing Address |
63 E Jonathan Ct Kennett Sq PA 19348-1850 |
| Practice Telephone | 3024547520 |
| Practice Fax Number | 3025656049 |
| Mailing Telephone | 4846205677 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
L8-0000174 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP017077 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| Street Address |
1423 CAPITOL TRAIL BUILDING 3 |
| City | NEWARK |
| State | DE |
| Zip Code | 19711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477942381 | Rosalind Stewart | Counselor | 1423 Capitol Trail, Polly Drummond Plaza, Building 3, Newark, DE 19711-5703 | 2015-01-15 |
| 1215427661 | Oroko Mageto Oyaro | Counselor | 1423 Capitol Trail, Polly Drummond Plaza Building 3, Newark, DE 19711 | 2018-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1184110165 | Kazeem Alao Olajide | Nurse Practitioner | 735 S 12th St, Newark, NJ 07103-1740 | 2018-07-02 |
| 1629454533 | Kolawole Adeoti | Nurse Practitioner | 24 Holland St, Newark, NJ 07103-2011 | 2015-08-03 |
| 1538590880 | Alice Agecha | Nurse Practitioner | Rutgers Behavioral Health Care, 183 South Orange Avenue, Newark, NJ 07103 | 2013-12-11 |
| 1871821322 | Bradley Stanford Why | Nurse Practitioner | 1423 Capitol Trail Drummond Plaza Office Park, Building 1, Suite 1107, Newark, DE 19707 | 2009-11-20 |
| 1043346448 | Maureen Terese Ambinder-knice | Nurse Practitioner | 260 Broadway Fl 2, Newark, NJ 07104-3906 | 2007-02-27 |
| 1447277207 | Cindy L Cunningham | Nurse Practitioner | 910 S Chapel St Ste 102, Newark, DE 19713 | 2006-07-17 |
| 1447859681 | Emily Gorrin | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-20 |
| 1619586195 | Adelle Keller | Nurse Practitioner | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-30 |
| 1063020857 | Positive Impact Behavioral Health Services | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103-0710 | 2020-07-17 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.