Individual provider Active NPI

Folashade Boakye-Yiadom, DDS

  • General Practice Dentistry
  • Jamaica, NY
National Provider Identifier
1639214984
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046251 Issued in NY
Practice address
18730 Hillside Ave
Jamaica, NY 11432-3216
Phone
(718) 264-1111
Fax
(718) 264-9125
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046251 NY Primary

Addresses

Primary practice location

18730 Hillside Ave
Jamaica, NY 11432-3216

Mailing address

187-30 Hillside Avenue
Jamaica, NY 11432-3216
Phone (718) 264-1111

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

LicenseStateTypeSpecialty
046251NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Polymedic P.C. Past Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc PastSince Apr 8, 2009 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639214984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187-30 HILLSIDE AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323216",
            "telephone_number": "718-264-1111",
            "fax_number": "718-264-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18730 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323216",
            "telephone_number": "718-264-1111",
            "fax_number": "718-264-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE-YIADOM",
        "first_name": "FOLASHADE",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046251",
            "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 Jul 8, 2007; 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.