Look up the most recent NPI and PECOS records

Kingsley Boateng

Emergency Medicine

Allopathic & Osteopathic Physicians

101 Nicolls Road, Hsc, L-4, Rm 050, Stony Brook, NY 11794-8350

PECOS Enrollment

Based on the most recent information from CMS, provider Kingsley Boateng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1548722366
Provider Type
Individual
Full Name
Boateng, Kingsley
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/1/2019
Last Updated
6/22/2023

Contact Information

Practice Location

101 Nicolls Road, Hsc, L-4, Rm 050, Stony Brook, NY 11794-8350

(631) 444-2829

Unlisted Fax

Mailing Location

101 Nicolls Road, Hsc, Level 4, Rm 050, Stony Brook, NY 11794-8350

(631) 444-2829

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 315055 New York

Kingsley Boateng

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Li, Wei Jie

Miller, Nicholas Wyatt

Hodson, Benjamin Richard

Henry, Mark

Fombonne, Benjamin Elie

Townsend, Erin

Singer, Daniel D

Niyazov, Richard

Johnson, Scott

Torres, Jose Octavio