Active NPI
Freda Boateng
- Social Worker
- Jamaica, NY
National Provider Identifier
1386431880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 126117
- Practice address
- 21155 Jamaica Ave
Jamaica, NY 11428-1621 - Phone
- (914) 481-3710
- NPI assigned
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 126117 | NY | Primary |
Addresses
Primary practice location
21155 Jamaica Ave
Jamaica, NY 11428-1621
Mailing address
21155 Jamaica Ave
Jamaica, NY 11428-1621
Phone (914) 481-3710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126117 | NY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1386431880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21155 JAMAICA AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114281621",
"telephone_number": "914-481-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21155 JAMAICA AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114281621",
"telephone_number": "914-481-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATENG",
"first_name": "FREDA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "126117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.