DEBORAH OSEI-AGYEMAN – Gerontology Nurse Practitioner, NPI 1124764063

DEBORAH OSEI-AGYEMAN is a healthcare provider. based in Williamstown, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 728723-01 (NY). The NPI Number for DEBORAH OSEI-AGYEMAN is 1124764063

Main info

Female
4 Years Of Experience
Name
DEBORAH OSEI-AGYEMAN
NPI
1124764063
Phone
(973) 855-8121
Address
1400 Sundrop Ct
Enumeration Date
12 May 2022
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8568750100
Graduation Year
2022 (4 years ago)
PAC ID
6709234982
Group Practice PAC ID
6901276922
Professional Enrollment ID
I20231129000017
Address ID
NJ080949130WI1420XPIKE500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:4State licenses:3Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for DEBORAH OSEI-AGYEMAN

  • 1400 Sundrop Ct

    Williamstown, NJ 080944630

    Phone: (973) 855-8121

    Type: Location

  • 1400 SUNDROP CT

    WILLIAMSTOWN, NJ 080944630

    Phone: (973) 855-8121

    Type: Location

  • 8025 BLACK HORSE PIKE STE 501

    PLEASANTVILLE, NJ 082322967

    Phone: (856) 812-8089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231129000017INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901276922View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerMI
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is the registry number for DEBORAH OSEI-AGYEMAN?
The registry entry for DEBORAH OSEI-AGYEMAN shows NPI 1124764063.
Does the public listing show DEBORAH OSEI-AGYEMAN as active?
DEBORAH OSEI-AGYEMAN's NPI record reflects an active status in NPPES.
What type of care does DEBORAH OSEI-AGYEMAN provide?
DEBORAH OSEI-AGYEMAN's profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DEBORAH OSEI-AGYEMAN?
DEBORAH OSEI-AGYEMAN is associated with Williamstown, New Jersey in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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