Larry S Borakove, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011044 Issued in NY

Practice address

55 Old Nyack Tpke
Suite 601
Nanuet, NY 10954-2461

Phone

(914) 714-5023

Fax

(845) 634-0806

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1043353030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ZUKOR RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565507",
            "telephone_number": "914-714-5023",
            "fax_number": "845-634-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE",
            "address_2": "SUITE 601",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542461",
            "telephone_number": "914-714-5023",
            "fax_number": "845-634-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAKOVE",
        "first_name": "LARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02192671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul K Blood
• Liza V Bloom, RN
• Jeanine Marie Blumenfeld, LCSW
• Glen H Blustein, OD
• Gail S Bock-Frankel, P.T
• Leah Bowers, RN
• Debra Boyle, RN/BSN
• Stacy E Bradley, MSED
• Kristen Brandemarte
• Brenda Cay Consulting, Inc.

• Psychologist in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.