Individual provider Active NPI

Valerie J Cicerone Bossard, MD

  • Gynecology Physician
  • Philadelphi, PA
National Provider Identifier
1003919507
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD022661E Issued in PA
Practice address
8001 Roosevelt Blvd
Suite 500
Philadelphi, PA 19152
Phone
(215) 332-8870
Fax
(215) 332-0810
NPI assigned
Sep 7, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD022661E PA Primary

Addresses

Primary practice location

8001 Roosevelt Blvd
Suite 500
Philadelphi, PA 19152

Mailing address

8001 Roosevelt Blvd
Suite 500
Philadelphi, PA 19152
Phone (215) 332-8870

Other names 1

  • Valerie J Cicerone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151113000857 PA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 6608186010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie J. Bossard, M.D. P.C. Gynecology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1003919507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 500",
            "city": "PHILADELPHI",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-332-8870",
            "fax_number": "215-332-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 500",
            "city": "PHILADELPHI",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-332-8870",
            "fax_number": "215-332-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERONE BOSSARD",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD022661E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "CICERONE",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphi, PA

Sources for this page

Verify at the official NPI Registry.