Boris Bobyr NP in Adult Health PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

BORIS BOBYR NP IN ADULT HEALTH PC

Doing business as

Shore Parkway Wellness

Practice address

2769 Coney Island Ave Ste 2
Brooklyn, NY 11235-5051

Phone

(718) 682-5250

Fax

(208) 264-4112

NPI assigned

Oct 20, 2018

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Boris M Bobyr, NPNPI 1578659116

Title

NP

Phone

(718) 682-5250

Specialties & licenses 1

Addresses

Other names 1

• Shore Parkway Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris M Bobyr, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1578659116
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1093281735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FERN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082226",
            "telephone_number": "718-682-5250",
            "fax_number": "208-264-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 CONEY ISLAND AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355051",
            "telephone_number": "718-682-5250",
            "fax_number": "208-264-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Hylan Blvd Ste C4",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103064344",
            "country_code": "US",
            "telephone_number": "718-682-5250",
            "fax_number": "208-264-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BORIS BOBYR NP IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-20",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "BOBYR",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "718-682-5250",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Parkway Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dena Angela Borgia, FNP
• Klubosumo Johnson Borh Sr., MSC. IN SOCIAL WORK
• Panid Borhanjoo, MD
• Taisiya Borik, M.A.
• Olga Borinski
• Boris Dudelzak DO PC
• Boris Itskovich, MD
• Boris Ovodenko MD PC (American Vision Group)
• Boris Sagalovich, MD PC
• Boris Tsemekhin Anesthesia PC

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.