Kweiba Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KWEIBA MEDICAL PC

Practice address

7143 Sutton PL Apt 3
Fresh Meadows, NY 11365-4584

Phone

(917) 617-1197

NPI assigned

Jun 6, 2024

Organization subpart

Yes

Parent organization

SPRING FORTH MEDICAL P.C.As reported in NPPES

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

Authorized official

Name

Baaba Blankson, MDNPI 1518494616

Title

Founder and President

Phone

(937) 617-1197

Specialties & licenses 1

Addresses

Part of

Kweiba Medical PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Baaba Kweiba Blankson, MD

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1518494616
  NPD Authorized official

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1336980945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 PARSONS BLVD # 1018",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 SUTTON PL APT 3",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654584",
            "telephone_number": "917-617-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWEIBA MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING FORTH MEDICAL P.C.",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "BLANKSON",
        "authorized_official_first_name": "BAABA",
        "authorized_official_title_or_position": "FOUNDER AND PRESIDENT",
        "authorized_official_telephone_number": "937-617-1197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anselma Kuljanic, RD
• Jana Kuo, MD
• Lyudmila Kushmakova, FNP
• Brittney Kwadwo
• Amy Kwan
• Jinyan Lai
• Melina Luzaida Lake, MSED
• Portia Lam
• Joshua Baumol Lamm, MD
• Rebecca Stern Lamm, LCSW

• Family Medicine Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Jun 6, 2024; 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.