Active NPI
Taylor Boyle
- Specialist
- Shirley, NY
National Provider Identifier
1013608637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 398 Patton Ave
Shirley, NY 11967-1530 - Phone
- (631) 569-9591
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
398 Patton Ave
Shirley, NY 11967-1530
Mailing address
225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone (631) 385-7780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1013608637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BROADHOLLOW RD STE 402",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474899",
"telephone_number": "631-385-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 PATTON AVE",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119671530",
"telephone_number": "631-569-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.