Individual provider Active NPI

Naana Boakye, M.D

  • Procedural Dermatology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1598961013
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
25MA08407300 Issued in NJ
Practice address
140 Sylvan Ave
305
Englewood Cliffs, NJ 07632-2514
Phone
(201) 567-7546
Fax
(210) 567-1087
NPI assigned
Jun 22, 2007
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 243859 NY
Procedural Dermatology Physician 207NS0135X 25MA08407300 NJ Primary

Addresses

Primary practice location

140 Sylvan Ave
305
Englewood Cliffs, NJ 07632-2514

Mailing address

140 Sylvan Avenue
305
Englewood Cliffs, NJ 07632
Phone (201) 567-7546

Other identifiers 1

IdentifierTypeStateIssuer
213029OtherNJPTAN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
243859NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Roosevelt Community Care Past Accepting new patients

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1598961013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SYLVAN AVENUE",
            "address_2": "305",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-567-7546",
            "fax_number": "210-567-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SYLVAN AVE",
            "address_2": "305",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322514",
            "telephone_number": "201-567-7546",
            "fax_number": "210-567-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "NAANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "243859",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA08407300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "213029",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.