Individual provider Active NPI

Olakunle O Akinboboye, MD MPH

  • Internal Medicine Physician
  • Laurelton, NY
National Provider Identifier
1780632844
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NY202443 Issued in NY
Practice address
224-14 Merrick Blvd
Laurelton, NY 11413
Phone
(718) 949-9400
Fax
(718) 949-8300
NPI assigned
May 4, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NY202443 NY Primary

Addresses

Primary practice location

224-14 Merrick Blvd
Laurelton, NY 11413

Mailing address

PO Box 29
Roslyn, NY 11576
Phone (718) 949-9400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031219000157 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517864200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurelton Heart Specialist PCGroup PAC ID 1355248030, 2 clinicians

Practice addresses (Care Compare)

23436 Merrick Blvd
Rosedale, NY 11422-1320
Phone (718) 949-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY202443NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurelton Heart Specialist P.C. CurrentSince Aug 22, 2003 Accepting new patients
Strong Health Medical Group Current Accepting new patients
Cardiac Imaging Inc CurrentSince Nov 15, 2017 Accepting new patients
Samuel Akuoku Physician PC Past Accepting new patients
Cardiovascular Associates of New York, P.C. Past Accepting new patients
Winthrop Faculty Medical Affiliates University Faculty Practice Corpor Past Accepting new patients
Booth Medical Associates PC Internal Medicine Past Accepting new patients

Locations

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

23436 Merrick Blvd
Rosedale, NY 11422
Phone (718) 949-9400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1780632844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "718-949-9400",
            "fax_number": "718-949-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224-14 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-949-9400",
            "fax_number": "718-949-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINBOBOYE",
        "first_name": "OLAKUNLE",
        "middle_name": "O",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY202443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

Verify at the official NPI Registry.