Individual provider Active NPI

Jennifer Boakye

  • Audiologist
  • Dunellen, NJ
National Provider Identifier
1881399442
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00124000 Issued in NJ
Practice address
8 S Washington Ave
Dunellen, NJ 08812-1252
Phone
(732) 424-0445
NPI assigned
Apr 3, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00124000 NJ Primary
Hearing Instrument Specialist 237700000X 41YA00124000 NJ

Addresses

Primary practice location

8 S Washington Ave
Dunellen, NJ 08812-1252

Mailing address

8 S Washington Ave
Dunellen, NJ 08812-1252
Phone (732) 424-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713002350 NJ Practitioner - Qualified Audiologist 9436519105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00124000NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Mar 31, 2023 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Mar 31, 2023 Accepting new patients
Audiology Services Company USA, LLC PastSince Mar 31, 2023 Accepting new patients

Locations

8 S Washington Ave
Dunellen, NJ 08812
Phone (732) 424-0445

138 Village Center Dr
Unit B4
Freehold, NJ 07728
Phone (732) 683-1140

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

40 Stirling Rd
Ste 206B
Watchung, NJ 07069
Phone (908) 756-5227

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1881399442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S WASHINGTON AVE",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121252",
            "telephone_number": "732-424-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S WASHINGTON AVE",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121252",
            "telephone_number": "732-424-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00124000",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "41YA00124000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunellen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.