Active NPI
Kwaku Osafo-Mensah Boamah, MD
- Obstetrics & Gynecology Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA64482
- Practice address
- 1921 Kennedy Blvd
Jersey City, NJ 07305-2117 - Phone
- (201) 333-8800
- Fax
- (201) 333-8585
- NPI assigned
- Sep 29, 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 | MA64482 | NJ | Primary |
Addresses
Primary practice location
1921 Kennedy Blvd
Jersey City, NJ 07305-2117
Mailing address
1921 Kennedy Blvd
Jersey City, NJ 07305-2117
Phone (201) 333-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7901003 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Central Ave
Jersey City, NJ 07307-2915
Phone (201) 984-1270
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Jersey City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA64482 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Jersey City Medical Center | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
142 Palisade Ave
Ste 200
Jersey City, NJ 07306
Phone (201) 435-2244
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
317 Central Ave
Jersey City, NJ 07307
Phone (201) 839-2640
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
Interoperability endpoints
- kboamah45813@epicdirect.rwjbh.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154413029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052117",
"telephone_number": "201-333-8800",
"fax_number": "201-333-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052117",
"telephone_number": "201-333-8800",
"fax_number": "201-333-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAMAH",
"first_name": "KWAKU",
"middle_name": "OSAFO-MENSAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA64482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.