Samantha Irene Boggs, LPN

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

255708-1 Issued in NY

Practice address

31 Chris Matt CT
Bay Shore, NY 11706-6731

Phone

(631) 968-9196

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1003268863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CHRIS MATT CT",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066731",
            "telephone_number": "631-968-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CHRIS MATT CT",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066731",
            "telephone_number": "631-968-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "SAMANTHA",
        "middle_name": "IRENE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "255708-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina L Boccio, LMT
• Erica Bodoff, CGC
• Kimberly Boehm, MS ED
• Carla Boeree
• Danielle Boeree
• Mahmoud Mohammedamin M Bokhari, M.D.
• Raphael Bollag, MD
• Brandy A Bolus, LPN
• Danielle Nicole Bonifazio, PA-C
• Elizabeth Bonilla, NP

• Adult Day Care Clinic/Center in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.