Individual provider Active NPI

Lena Amanquah, D.O.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1699776971
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
223172 Issued in NY
Practice address
208 E 116TH St
New York, NY 10029
Phone
(212) 203-4444
Fax
(212) 203-4444
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2023-03449 NC
General Practice Physician 208D00000X 1017372 MA
General Practice Physician 208D00000X DO3907 ME
General Practice Physician 208D00000X V0338 TX
General Practice Physician 208D00000X C2-0024527 DE
General Practice Physician 208D00000X DO-06737 IA
General Practice Physician 208D00000X 33171 NH
General Practice Physician 208D00000X 223172 NY Primary
Pediatrics Physician 208000000X 223172 NY

Addresses

Primary practice location

208 E 116TH St
New York, NY 10029

Mailing address

34 W 139TH St Apt 3G
New York, NY 10037-1510
Phone (510) 813-2045

Other practice location 1

699 Walnut St Ste 400
Des Moines, IA 50309-3962
Phone (415) 424-4266

Other practice location 2

101 N Tryon St Ste 600
Charlotte, NC 28246-0100
Phone (415) 424-4266

Other practice location 3

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266 ext. 44266

Other identifiers 1

IdentifierTypeStateIssuer
223172MedicaidNY

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
223172NYMDPediatrics Physician
C2-0024527DEMDGeneral Practice Physician
DO-06737IAMDGeneral Practice Physician
1017372MAMDGeneral Practice Physician
DO3907MEMDGeneral Practice Physician
2023-03449NCMDGeneral Practice Physician
33171NHMDGeneral Practice Physician
V0338TXMDGeneral Practice Physician

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1699776971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W 139TH ST APT 3G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371510",
            "telephone_number": "510-813-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-203-4444",
            "fax_number": "212-203-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 Walnut St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093962",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Tryon St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282460100",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Esters Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632233",
            "country_code": "US",
            "telephone_number": "415-424-4266 x44266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMANQUAH",
        "first_name": "LENA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2023-03449",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "1017372",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "DO3907",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "V0338",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C2-0024527",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "DO-06737",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NH",
            "license": "33171",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "223172",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "223172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.