Edward Boateng, PHYSICIAN ASSISTANT

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

010207 Issued in NY

Practice address

506 Lenox Ave
MLK-Pavilion, 12 TH Floor, Surgery Department
New York, NY 10037-1802

Phone

(212) 939-4680

NPI assigned

Mar 19, 2008

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1255502019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SELMA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162719",
            "telephone_number": "646-542-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "address_2": "MLK-PAVILION, 12 TH FLOOR, SURGERY DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "010207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Boas, MD MBA
• Samuel Robert Boas, MD
• Adoma Boateng, MD
• Agnes Boateng, RPN
• Diane Boateng
• Percy Boateng, MD
• Brian G Boatman, MD
• Dowin Hugh Boatright, MD
• Kathleen Boatswain, LCSW-R
• Catherine Boatwright, M.A

• Critical Access Hospital in New York, NY
• Providers in New York, NY by specialty
• Critical Access Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.