Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Otibu Aboagye

Individual provider Registered Nurse · NPI 1538448501

Mr. Michael Otibu Aboagye is a Nurse Practitioner in Miller Place, New York. Qualified in 2019, 7 years ago. Practices with John T Mather Memorial Hospital, a 180-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

33 Independence Way
Miller Place, NY 11764-2337
Phone: (646) 420-4475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 345351 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 649259 (NY)

Record details

NPI number1538448501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2011
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice John T Mather Memorial Hospital — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Miller Place