Active NPI
Peter Andrew Bohlman Jr., P.A.
- Physician Assistant
- South Hempstead, NY
National Provider Identifier
1013064914
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 19, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005974
- Practice address
- 329 Locust St
South Hempstead, NY 11550-7709 - Phone
- (718) 463-5497
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005974 | NY | Primary |
Addresses
Primary practice location
329 Locust St
South Hempstead, NY 11550-7709
Mailing address
329 Locust St
South Hempstead, NY 11550-7709
Phone (718) 463-5497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Interoperability endpoints
- peter.bohlman@ghuc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1013064914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 LOCUST ST",
"city": "SOUTH HEMPSTEAD",
"state": "NY",
"postal_code": "115507709",
"telephone_number": "718-463-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 LOCUST ST",
"city": "SOUTH HEMPSTEAD",
"state": "NY",
"postal_code": "115507709",
"telephone_number": "718-463-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLMAN",
"first_name": "PETER",
"middle_name": "ANDREW",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.