Benjamin Yeboah MD, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

BENJAMIN YEBOAH MD, LLC

Practice address

33 Cone Ave
Meriden, CT 06450-4822

Phone

(203) 238-1606

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Benjamin Yeboah, MDNPI 1174705636

Title

Dr/Onwer

Phone

(203) 812-9706

Specialties & licenses 1

Addresses

Other names 1

• Benjamin Yeboah MD, LLC Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

• Benjamin Yeboah, MD

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1174705636

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1992423313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WATERBURY RD STE 155",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121256",
            "telephone_number": "203-813-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CONE AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504822",
            "telephone_number": "203-238-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN YEBOAH MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "YEBOAH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DR/ONWER",
        "authorized_official_telephone_number": "203-812-9706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Benjamin.Yeboah@GenesisHCC.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33 Cone Ave",
            "city": "Meriden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064504822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Benjamin.Yeboah@GenesisHCC.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33 Cone Ave",
            "city": "Meriden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064504822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Benjamin Yeboah MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Belevich, LCSW
• Jocelynne N. Bell
• Aziz Benbrahim, MD
• Benchmark Assisted Living LLC
• Janice Nixon Bendall, MA
• Marie Adele Bennett, MFT
• Jose Maria Benzo Jr., M.S
• Devin D Berez, DNP
• Kristi M Bergeron, PT
• Tracey King Bergman

• All providers in Meriden, CT
• Geriatric Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.