Healthcare Provider Details

I. General information

NPI: 1861301509
Provider Name (Legal Business Name): AFUA MENSAH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 MALCOLM AVE FL 2
GARFIELD NJ
07026-1220
US

IV. Provider business mailing address

182 MALCOLM AVE FL 2
GARFIELD NJ
07026-1220
US

V. Phone/Fax

Practice location:
  • Phone: 732-801-1572
  • Fax:
Mailing address:
  • Phone: 732-801-1572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number621589-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: