MICHAEL KWAKYE (NPI# 1104232040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104232040 |
| Entity Type | Individual |
| Full Name | MICHAEL KWAKYE |
| Credential | M.D |
| Practice Address |
5030 Broadway Ste 816 New York NY 10034 |
| Mailing Address |
480 Netherland Ave Staten Island NY 10303-1828 |
| Practice Telephone | 2037458432 |
| Mailing Telephone | 2037458432 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 294179 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5030 BROADWAY STE 816 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629699269 | Rovena Mele | Nurse Practitioner | 5030 Broadway Ste 816, New York, NY 10034-1670 | 2020-05-06 |
| 1457871352 | Fiorella Levano Via | Family Medicine | 5030 Broadway Ste 816, New York, NY 10034-1670 | 2017-06-21 |
| 1891160776 | Metropolis Medical PC | Clinic/Center | 5030 Broadway Ste 816, New York, NY 10034-1670 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
| 1659644557 | Payless Rx Pharmacy. Inc | Pharmacy | 567 West 207th St, Payless Rx Pharmacy. Inc., New York, NY 10034 | 2012-02-23 |
| Find all providers in zip 10034 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1538651385 | Caroline Roberta Campbell | General Practice | 129 W 81st St Apt 3, New York, NY 10024-7207 | 2018-06-06 |
| 1104317973 | Michael Stavis Bohl | General Practice | 235 W 48th St Apt 34a, New York, NY 10036-1431 | 2018-05-28 |
| 1841793015 | Xin He | General Practice | 60 W 75th St Lowr Level, New York, NY 10023-2016 | 2018-03-14 |
| 1811497381 | James Uhrig | General Practice | 316 W 84th St Apt 6g, New York, NY 10024-4249 | 2018-02-20 |
| 1730607391 | Ruben Osvaldo Garcia | General Practice | 400 E 52nd St Apt 12j, New York, NY 10022-6407 | 2017-09-05 |
| 1992231294 | Paul Promadhattvedi | General Practice | 255 Fort Washington Ave Apt 41, New York, NY 10032-1252 | 2017-05-04 |
| 1407381486 | Taber Cloey Lightbourne | General Practice | 1051 Riverside Drive, Box 103, New York, NY 10032 | 2017-04-27 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.