NPIMap

Organization Active NPI

Samuel Akuoku Physician PC

  • Medical Specialty Clinic/Center
  • Laurelton, NY
National Provider Identifier
1013070366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
178587 Issued in NY
Legal business name
SAMUEL AKUOKU PHYSICIAN PC
Practice address
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone
(718) 949-6433
Fax
(718) 949-0331
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samuel Boateng Akuoku, M.D.NPI 1962574418
Title
Owner
Phone
(718) 949-6433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 178587 NY Primary

Addresses

Primary practice location

22414 Merrick Blvd
Laurelton, NY 11413-2023

Mailing address

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Other names 1

  • Laurelton Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2299691Samuel Akuoku PLLC22414 Merrick Blvd 2ND Floor, Laurelton, NY 11413RegistrationJul 31, 2026

National Provider Directory

National Provider Directory

Locations

22414 Merrick Blvd
Ste B2
Laurelton, NY 11413

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013070366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22414 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023",
            "telephone_number": "718-949-6433",
            "fax_number": "718-949-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22414 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023",
            "telephone_number": "718-949-6433",
            "fax_number": "718-949-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL AKUOKU PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKUOKU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BOATENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-949-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "178587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurelton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.