Dr Nicodeme Wanko Agassy, MD is a
Student In An Organized Health Care Education/training Program physician based in New Brunswick, New Jersey. Dr Nicodeme Wanko Agassy is licensed to practice in * (Not Available) (license number ) and his current practice location is 1 Robert Wood Johnson Pl, New Brunswick, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(240) 715-7885.
NPI number for Dr Nicodeme Wanko Agassy is 1477044550 and his current mailing address is 1 Richmond St Apt 4012, New Brunswick, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477044550.
Physician's Profile
| Full Name | Dr Nicodeme Wanko Agassy |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Robert Wood Johnson Pl, New Brunswick, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477044550
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 07/16/2021
Medical Identifiers
Medical identifiers for Dr Nicodeme Wanko Agassy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477044550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 25MA11170500 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicodeme Wanko Agassy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicodeme Wanko Agassy, MD
1 Richmond St Apt 4012,
New Brunswick, NJ 08901-4102
Ph: (240) 715-7885 | Dr Nicodeme Wanko Agassy, MD
1 Robert Wood Johnson Pl,
New Brunswick, NJ 08901-1928
Ph: (240) 715-7885 |
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