Individual provider Active NPI

Janet Boaitey-Adjei, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New City, NY
National Provider Identifier
1700405768
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346904 Issued in NY
Practice address
11 Auburn Dr
New City, NY 10956-5823
Phone
(347) 279-1618
NPI assigned
Apr 10, 2020
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346904 NY Primary
Registered Nurse 163W00000X 679537 NY

Addresses

Primary practice location

11 Auburn Dr
New City, NY 10956-5823

Mailing address

111 Heitman Dr Apt J
Spring Valley, NY 10977-6078
Phone (347) 279-1618

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

State licenses

LicenseStateTypeSpecialty
679537NYMDRegistered Nurse
F346904NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quarry Road Emergency Services P.C. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1700405768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEITMAN DR APT J",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776078",
            "telephone_number": "347-279-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 AUBURN DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565823",
            "telephone_number": "347-279-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAITEY-ADJEI",
        "first_name": "JANET",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346904",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "679537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.