Active NPI
Steven Boym, DC
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1104024108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009308
- Practice address
- 1601 Gravesend Neck Rd
Brooklyn, NY 11229-4430 - Phone
- (718) 714-0700
- Fax
- (718) 934-3330
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009308 | NY | Primary |
| Independent Medical Examiner Chiropractor | 111NI0013X | X009308 | NY | |
| Rehabilitation Chiropractor | 111NR0400X | X009308 | NY |
Addresses
Primary practice location
1601 Gravesend Neck Rd
Brooklyn, NY 11229-4430
Mailing address
388 Alter Ave
Staten Island, NY 10305-2302
Phone (718) 753-6250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X009308 | Other | NY | LICENSE |
Other names 1
- Vyacheslav Boym
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009308 | NY | MD | Independent Medical Examiner Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1104024108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 ALTER AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052302",
"telephone_number": "718-753-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GRAVESEND NECK RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294430",
"telephone_number": "718-714-0700",
"fax_number": "718-934-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYM",
"first_name": "STEVEN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009308",
"primary": true
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "NY",
"license": "X009308",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "X009308",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "X009308",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VYACHESLAV",
"last_name": "BOYM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.