Cedi Medical Office PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CEDI MEDICAL OFFICE PLLC

Practice address

2940 Grand Concourse Unit 1a-1B
Bronx, NY 10458-2611

Phone

(718) 220-0900

Fax

(718) 733-6773

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kwabena Boakye, MDNPI 1073745659

Title

Medical Director

Phone

(718) 220-0900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kwabena Boakye, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1073745659
  Medicare reassignment NPD Authorized official
• Kwaku Nyame Boakye, M.D.

  • Family Medicine Physician
  • Wilkes Barre, PA
  • NPI 1851653984
  NPD

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1992310411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 GRAND CONCOURSE UNIT 1A-1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582611",
            "telephone_number": "718-220-0900",
            "fax_number": "718-733-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 GRAND CONCOURSE UNIT 1A-1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582611",
            "telephone_number": "718-220-0900",
            "fax_number": "718-733-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDI MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "BOAKYE",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-220-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ellen Cedeno, CCC,SLP BE
• Jose Cedeno
• Mercedes Cedeno, RN
• Richard J Cedeno, PA
• Vivian Cedeno, TEACHER
• Cedra Healthcare LLC
• Cedra Pharmacy Inc
• Lamin Ceesay, CRNA
• Lamin S Ceesay, REGISTERED NURSE
• Vincent M Cefola, DDS

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.