Samuel W Boakye, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

236508 Issued in NY

Practice address

2891 Route 22
Patterson, NY 12563-2228

Phone

(914) 447-5655

NPI assigned

Oct 25, 2005

Last updated

Mar 14, 2023By the provider in NPPES

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Urgent Care of Fishkill PLLC

  • Urgent Care Clinic/Center
  • Fishkill, NY
  • NPI 1720228067
  Medicare reassignment NPD
• Excel Urgent Care of Goshen PLLC

  • Urgent Care Clinic/Center
  • Goshen, NY
  • NPI 1710132816
  Medicare reassignment NPD
• Orange Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Middletown, NY
  • NPI 1043378151
  Medicare reassignment NPD
• Fishkill Pharmacy LLC

  dba The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Fishkill, NY
  • NPI 1427308188
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1306836929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 ROUTE 22",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632228",
            "telephone_number": "914-447-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 ROUTE 22",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632228",
            "telephone_number": "914-447-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02693956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcela P Arnold-Barrientos
• Joan Baird, LCSW-R
• Amy Basso, MS, CCC/SLP
• Bonnie Ann Benedict, LPN
• Debra Bloomgarden, TEACHER
• Alexander W Bogler, DDS
• Erin Browne
• Theresa A Burdick, FNP
• Annisa Camacho
• Andrea Campbell

• Family Medicine Physician in Patterson, NY
• Providers in Patterson, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.