Individual provider Active NPI

Aubrey May Boko

  • Medical-Surgical Registered Nurse
  • Rego Park, NY
National Provider Identifier
1679989891
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
621403 Issued in NY
Practice address
8817 62ND Dr
FL 2
Rego Park, NY 11374-2822
Phone
(646) 468-4143
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 621403 NY Primary

Addresses

Primary practice location

8817 62ND Dr
FL 2
Rego Park, NY 11374-2822

Mailing address

8817 62ND Dr
FL 2
Rego Park, NY 11374-2822
Phone (646) 468-4143

Other names 1

  • Aubrey May Babayen on Boko Other name

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
621403NYMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1679989891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 62ND DR",
            "address_2": "FL 2",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742822",
            "telephone_number": "646-468-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 62ND DR",
            "address_2": "FL 2",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742822",
            "telephone_number": "646-468-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKO",
        "first_name": "AUBREY",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "621403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY MAY",
            "last_name": "BOKO",
            "middle_name": "BABAYEN ON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.