Active NPI
Alex Boafo, M.D.
- Obstetrics & Gynecology Physician
- Bronx, NY
National Provider Identifier
1083708549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 155125
- Practice address
- 2115 Starling Avenue
Bronx, NY 10462 - Phone
- (718) 822-2810
- Fax
- (718) 822-8732
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 155125 | NY | Primary |
Addresses
Primary practice location
2115 Starling Avenue
Bronx, NY 10462
Mailing address
600 East 233Rd Street
5TH Floor
Bronx, NY 10466
Phone (718) 920-9647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 853434 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155125 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083708549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 EAST 233RD STREET",
"address_2": "5TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-920-9647",
"fax_number": "718-920-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 STARLING AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10462",
"telephone_number": "718-822-2810",
"fax_number": "718-822-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAFO",
"first_name": "ALEX",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "155125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "853434",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.