Individual provider Active NPI

Lydia Boateng, FNP-BC

  • Family Nurse Practitioner
  • Fishkill, NY
National Provider Identifier
1730959032
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355673 Issued in NY
Practice address
400 Westage Business Ctr Dr Ste 102a
Fishkill, NY 12524-2231
Phone
(845) 848-3626
NPI assigned
Jan 8, 2024
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355673 NY Primary

Addresses

Primary practice location

400 Westage Business Ctr Dr Ste 102a
Fishkill, NY 12524-2231

Mailing address

400 Westage Business Ctr Dr Ste 102a
Fishkill, NY 12524-2231
Phone (845) 848-3626

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
I20251226000154 NY Practitioner - Nurse Practitioner 6901392190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson River Valley Medical PCGroup PAC ID 2860980513, 2 clinicians

Practice addresses (Care Compare)

400 Westage Business Ctr Dr
Suite 102a
Fishkill, NY 12524-2231
Phone (845) 848-3626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
355673NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson River Valley Medical PC CurrentSince Nov 13, 2025 Accepting new patients
Always Compassionate Home Care Inc PastSince Jan 1, 2024 Accepting new patients
Always Compassionate Home Care Inc PastSince Jan 1, 2024 Accepting new patients

Locations

400 Westage Business Ctr Dr
Ste 102A
Fishkill, NY 12524
Phone (845) 848-3626

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1730959032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUSINESS CTR DR STE 102A",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242231",
            "telephone_number": "845-848-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUSINESS CTR DR STE 102A",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242231",
            "telephone_number": "845-848-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "LYDIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.