Active NPI
Mame Serwah-Boah, RN
- Registered Nurse
- Jamaica, NY
National Provider Identifier
1700271186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 669493
- Practice address
- 17220 133Rd Ave
#13G
Jamaica, NY 11434-3961 - Phone
- (516) 557-9358
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 669493 | NY | Primary |
| School Registered Nurse | 163WS0200X | 669493 | NY |
Addresses
Primary practice location
17220 133Rd Ave
#13G
Jamaica, NY 11434-3961
Mailing address
17220 133Rd Ave
#13G
Jamaica, NY 11434-3961
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669493 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1700271186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17220 133RD AVE",
"address_2": "#13G",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 133RD AVE",
"address_2": "#13G",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343961",
"telephone_number": "516-557-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERWAH-BOAH",
"first_name": "MAME",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "669493",
"primary": true
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "669493",
"primary": false
}
],
"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 Apr 1, 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.