Active NPI
James Aboagye Budu Sr.
- Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 404512
- Practice address
- 300 Crittenden Blvd.
Rochester, NY 14642-0001 - Phone
- (585) 273-1739
- Fax
- (585) 276-0067
- NPI assigned
- Dec 24, 2017
- Last updated
- Mar 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 404512 | NY | Primary |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 724470-1 | NY |
Addresses
Primary practice location
300 Crittenden Blvd.
Rochester, NY 14642-0001
Mailing address
300 Crittenden Blvd Box Psych
Rochester, NY 14642-0001
Phone (585) 273-1739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724470-1 | NY | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 404512 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Nurse Practitioner | Current | Accepting new patients |
| Health and Human Services Commission | Nurse Practitioner | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients |
Locations
6711 S New Braunfels Ave
Ste 1
San Antonio, TX 78223
Phone (210) 532-8811
6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 531-7805
Organizations & group practices 3
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.
-
dba Rio Grande State Center
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
Nurse Practitioner
-
dba San Antonio State Hospital
- Psychologist
- San Antonio, TX
- NPI 1811907983
Nurse Practitioner
-
dba Big Spring State Hospital
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1730695917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CRITTENDEN BLVD BOX PSYCH",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-273-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CRITTENDEN BLVD.",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-273-1739",
"fax_number": "585-276-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDU",
"first_name": "JAMES",
"middle_name": "ABOAGYE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-24",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "404512",
"primary": true
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NY",
"license": "724470-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.