Individual provider Active NPI

Joannah Boh, FNP

  • Family Nurse Practitioner
  • New City, NY
National Provider Identifier
1255114807
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352479 Issued in NY
Practice address
14 S Main St
New City, NY 10956-3545
Phone
(347) 421-1508
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352479 NY Primary

Addresses

Primary practice location

14 S Main St
New City, NY 10956-3545

Mailing address

14 S Main St
New City, NY 10956-3545
Phone (347) 421-1508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103003697 NY Practitioner - Nurse Practitioner 6608227608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 9, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jan 9, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Nov 15, 2023 Accepting new patients
Patient Centered Medical Service PC PastSince Mar 20, 2025 Accepting new patients
Forme Medical Center, Inc. Past Accepting new patients

Locations

5 N Airmont Rd
Airmont, NY 10901
Phone (845) 547-0300

21304 Northern Blvd
Bayside, NY 11361
Phone (929) 744-1197

111 E 210th St
Bronx, NY 10467

5546 Broadway
Bronx, NY 10463
Phone (917) 383-2164

1210 Webster Ave
Bronx, NY 10456
Phone (646) 612-7747

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

3400 Boston Rd
Bronx, NY 10469
Phone (718) 290-8787

2128 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 272-3300

1874 Route 6
#B
Carmel, NY 10512
Phone (914) 380-8588

464 Atlantic Ave
East Rockaway, NY 11518
Phone (516) 730-3344

13337 41st Ave
Ste B
Flushing, NY 11355
Phone (347) 783-6008

359 N Central Ave
Hartsdale, NY 10530
Phone (914) 448-2273

203 Gramatan Ave
Ste A
Mount Vernon, NY 10550
Phone (860) 212-9307

50 Westchester Ave
Port Chester, NY 10573
Phone (646) 898-6734

777 White Plains Rd
Scarsdale, NY 10583
Phone (914) 472-9090

1585 Dutch Broadway
Valley Stream, NY 11580
Phone (516) 490-6300

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jboh@montefioredirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1255114807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563545",
            "telephone_number": "347-421-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563545",
            "telephone_number": "347-421-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOH",
        "first_name": "JOANNAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.