BOAHEN OWUSU KWAKYE AGNP
NPI 1124503669
Family Medicine - Adult Medicine in New Hyde Park, NY

Q: What is Boahen Kwakye's NPI number?

The NPI number for Boahen Kwakye is 1124503669. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Q: What is Boahen Kwakye's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Boahen Kwakye was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2018

3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042(855) 201-4988 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2019, Oct 1, 2018 (2 updates tracked since 2018).

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About Boahen Owusu Kwakye Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOAHEN OWUSU KWAKYE AGNP (NPI 1124503669) is an individual adult medicine provider in New Hyde Park, New York, licensed in New York (F308264-1) and active in the NPI registry since October 2018. He maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1124503669

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameBOAHEN OWUSU KWAKYECredential: AGNP

Location Address3000 MARCUS AVE STE 2W15New Hyde Park, NY 11042-1005

Mailing Address140 De Kruif Pl Apt 2bBronx, NY 10475-2248 · (347) 271-6159

Phone(855) 201-4988

Sole ProprietorYes

Enumeration DateOctober 1, 2018

Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration

✔ NPI 1124503669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in NY · F308264-1

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

3000 MARCUS AVE STE 2W15, New Hyde Park, NY 11042

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Secondary Practice Location 1

Location 1443 Donelson Pike Ste 200Nashville, TN 37214-3571 · Phone (860) 207-8633

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CASSANDRA NICHOLE ANDERSON FNP

Nurse Practitioner (Family)