Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kwami Delali Agbodza, MD

Individual provider Emergency Medicine Physician · NPI 1831190172

Dr. Kwami Delali Agbodza, MD is an Emergency Medicine in Jackson, New Jersey. Qualified in 1983, 43 years ago. Practices with Bluewater Emergency Partners of Brunswick, LLC, a 153-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
43
Licensed in
NC, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Westlake Ct
Jackson, NJ 08527-5160
Phone: (732) 961-6453
Fax: (732) 961-6453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X · Licence 20436001 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 9500799 (NC)

Record details

NPI number1831190172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Bluewater Emergency Partners Of Brunswick, Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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