Individual provider Active NPI

Joshua Peter Bozek, D.O.

  • Emergency Medicine Physician
  • Smithtown, NY
National Provider Identifier
1063672020
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
256165 Issued in NY
Practice address
50 Route 25a
Smithtown, NY 11787-1348
Phone
(631) 862-3111
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 256165 NY Primary

Addresses

Primary practice location

50 Route 25a
Smithtown, NY 11787-1348

Mailing address

36 Kelsey Ave
Port Jefferson Station, NY 11776-3010
Phone (631) 942-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120410000315 NY Practitioner - Emergency Medicine 1052572542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.81 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siena Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients
Port Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jan 26, 2014 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jan 12, 2019 Accepting new patients
Samaritan Emergency Medical Services, PC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Emergency Medicine Past Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1063672020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KELSEY AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763010",
            "telephone_number": "631-942-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871348",
            "telephone_number": "631-862-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEK",
        "first_name": "JOSHUA",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "256165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.