Healthcare Provider Details

I. General information

NPI: 1083109607
Provider Name (Legal Business Name): DORCAS MENSAH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 DIANA DR
SOUTH PLAINFIELD NJ
07080-4447
US

IV. Provider business mailing address

69 DIANA DR
SOUTH PLAINFIELD NJ
07080-4447
US

V. Phone/Fax

Practice location:
  • Phone: 908-451-3012
  • Fax:
Mailing address:
  • Phone: 908-451-3012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00803700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: