Healthcare Provider Details

I. General information

NPI: 1679100689
Provider Name (Legal Business Name): KWAKU OPARE-SEM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HOSPITAL DR STE 9
TOMS RIVER NJ
08755-6434
US

IV. Provider business mailing address

20 HOSPITAL DR STE 9
TOMS RIVER NJ
08755-6434
US

V. Phone/Fax

Practice location:
  • Phone: 732-341-1380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA12759300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA12759300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number25MA12759300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: