Organization Active NPI

William O Boah MD LLP

  • Rheumatology Physician
  • Brooklyn, NY
National Provider Identifier
1639473762
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
242939 Issued in NY
Legal business name
WILLIAM O BOAH MD LLP
Practice address
145 E 18TH St
Brooklyn, NY 11226-4307
Phone
(718) 282-9690
Fax
(718) 287-5915
NPI assigned
Jan 4, 2011
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Dr. Akua Boah, MDNPI 1093910432
Title
MD
Phone
(718) 282-9690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242939 NY
Rheumatology Physician 207RR0500X 242939 NY Primary
Pediatrics Physician 208000000X 130416 NY

Addresses

Primary practice location

145 E 18TH St
Brooklyn, NY 11226-4307

Mailing address

145 E 18TH St
Brooklyn, NY 11226-4307
Phone (718) 282-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907002645 NY Part B Supplier - Clinic/Group Practice 0840586418 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1639473762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264307",
            "telephone_number": "718-282-9690",
            "fax_number": "718-287-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264307",
            "telephone_number": "718-282-9690",
            "fax_number": "718-287-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM O BOAH MD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "BOAH",
        "authorized_official_first_name": "AKUA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-282-9690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242939",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "242939",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "130416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.