Michael Otibu Aboagye
NPI 1538448501ActiveIndividual· Nurse Practitioner· Miller Place, NY
Nurse Practitioner with John T Mather Memorial Hospital, practicing in Miller Place, New York. Enrolled in Medicare as practitioner - nurse practitioner. Lists John T Mather Memorial Hospital of Port Jefferson as a hospital affiliation.
Overview
| NPI | 1538448501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2011 |
| Last updated in NPPES | Sep 30, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 345351 | NY |
| Registered Nurse | 163W00000X | 649259 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- John T Mather Memorial HospitalPort Jefferson, NY · 175 clinicians
Hospital affiliation
- John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Miller Place
- 1639890858
- 1801482062