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Active NPI 1760741540 Individual Practitioner Male Practitioner

Samuel Oteng Boadu

Licensed Practical Nurse • Brentwood, NY

Professional Overview & Biography Verified Profile Summary

Samuel Boadu is a registered healthcare professional specializing in Licensed Practical Nurse in Brentwood, NY. Practice services are available at 124 WESTWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 Westwood Dr

Brentwood, NY 117175720

Telephone 6317049874

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Brentwood, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
150 Specialists

Practicing in Brentwood, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 292151-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Emmanuel Boadu

Licensed Practical Nurse

NPI 1801230180

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2012

Registered at 124 WESTWOOD DR, BRENTWOOD, NY 117175720 (Tel: 6317049874)

📍
Updated Business Mailing Address May 14, 2012

Registered at 124 WESTWOOD DR, BRENTWOOD, NY 117175720 (Tel: 6317049874)

👤
Provider Name / Credentials Updated May 14, 2012

Recorded as SAMUEL BOADU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2012

Licensed Practical Nurse (License #292151-1 in NY)

🟢
Initial NPI Registration & Enumeration May 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760741540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2012
Last Update: May 14, 2012
Sole Proprietor: Yes

Mailing Address

124 Westwood Dr

Brentwood, NY 117175720

Phone: 6317049874

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.