Roosevelt Bantoe Totaye, CRNP is a
Nurse Practitioner - Family physician based in Allentown, Pennsylvania. Roosevelt Bantoe Totaye is licensed to practice in Pennsylvania (license number SP032033) and his current practice location is 508 N Fenwick St, Allentown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(484) 350-8124.
NPI number for Roosevelt Bantoe Totaye is 1467319491 and his current mailing address is 508 N Fenwick St, Allentown, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467319491.
Physician's Profile
| Full Name | Roosevelt Bantoe Totaye |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 508 N Fenwick St, Allentown, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467319491
- Provider Enumeration Date: 01/09/2026
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Roosevelt Bantoe Totaye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467319491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0127X | Surgery - Trauma Surgery | SP032033 (Pennsylvania) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP032033 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | SP032033 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | SP032033 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP032033 (Pennsylvania) | Primary |
| 208600000X | Surgery | SP032033 (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roosevelt Bantoe Totaye is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Roosevelt Bantoe Totaye, CRNP 508 N Fenwick St, Allentown, PA 18109-1977 Ph: (484) 350-8124 | Roosevelt Bantoe Totaye, CRNP 508 N Fenwick St, Allentown, PA 18109-1977 Ph: (484) 350-8124 |
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