Boahen Owusu Kwakye, AGNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

F308264-1 Issued in NY

Practice address

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Phone

(855) 201-4988

NPI assigned

Oct 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bkwakye@landmarkhealth-direct.org

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1124503669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DE KRUIF PL APT 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752248",
            "telephone_number": "347-271-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARCUS AVE STE 2W15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421005",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Donelson Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143571",
            "country_code": "US",
            "telephone_number": "860-207-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAKYE",
        "first_name": "BOAHEN",
        "middle_name": "OWUSU",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "F308264-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee Kutcher, M.D.
• Andrew Kuznetsov, D.D.S.
• Alan Seth Kuznick, D.M.D.
• Janiper Kwak, M.D.
• No Bong Kwak, M.D.
• Grace Chung Yan Kwan-Mangal, RPH
• Hening Kwan, PHARMD
• Jovita Kwan, NP
• Thomas Kwiatkowski
• Lisa Kwiecinski, CRNA

• Adult Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.