Individual provider Active NPI

Beverly Boafo

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1730060914
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
407273 Issued in NY
Practice address
949 Hartsdale Rd
White Plains, NY 10607-1219
Phone
(347) 837-5788
NPI assigned
Sep 11, 2025
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 407273 NY Primary

Addresses

Primary practice location

949 Hartsdale Rd
White Plains, NY 10607-1219

Mailing address

949 Hartsdale Rd
White Plains, NY 10607-1219
Phone (347) 837-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204002451 NY Practitioner - Nurse Practitioner 0941793210 Reassigns benefits to 1 organization
Practice locations: White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riddle Medical LLCGroup PAC ID 7113937103, 4 clinicians

Practice addresses (Care Compare)

965 Dutchess Tpke
Poughkeepsie, NY 12603-1551
Phone (800) 403-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
407273NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riddle Medical LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

100 Franklin St
Poughkeepsie, NY 12601
Phone (845) 454-4000

965 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 235-8264

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": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1730060914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 HARTSDALE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071219",
            "telephone_number": "347-837-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 HARTSDALE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071219",
            "telephone_number": "347-837-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAFO",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "407273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.