Nadia R Boseman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310712 Issued in NY

Practice address

11 Fancher PL
Staten Island, NY 10303-1616

Phone

(347) 576-5493

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1093229601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FANCHER PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FANCHER PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031616",
            "telephone_number": "347-576-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEMAN",
        "first_name": "NADIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Borukhov
• Lissette Bory
• Brittany Bosarge, MD
• Janice M Bosco
• Michelle Louise Bosco, L.M.S.W.
• Youssef Boshra, PHARM.D.
• Frederick Milton Bosoy, MD
• Evelyn Boss, P.A.
• Janice Lynne Anne Bossert-McSwiggan, FNP
• Laura Ann Bossert, MSSPED

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.

Verify at the official NPI Registry.