Individual provider Active NPI

Cynthia G. Boakye, M.D. M.P.H.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1932294832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
163526 Issued in NY
Practice address
100 N Portland Ave
Cumberland Diagnostic and Treatment Center
Brooklyn, NY 11205-2005
Phone
(718) 260-7895
Fax
(718) 260-7673
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 163526 NY Primary

Addresses

Primary practice location

100 N Portland Ave
Cumberland Diagnostic and Treatment Center
Brooklyn, NY 11205-2005

Mailing address

100 N Portland Ave
Cumberland Diagnostic and Treatment Center
Brooklyn, NY 11205-2005
Phone (718) 260-7895

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
I20161221000045 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7618159476

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: cboakye563098@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932294832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PORTLAND AVE",
            "address_2": "CUMBERLAND DIAGNOSTIC AND TREATMENT CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052005",
            "telephone_number": "718-260-7895",
            "fax_number": "718-260-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PORTLAND AVE",
            "address_2": "CUMBERLAND DIAGNOSTIC AND TREATMENT CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052005",
            "telephone_number": "718-260-7895",
            "fax_number": "718-260-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "CYNTHIA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D. M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "163526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.