Robert Raymond Boesch, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

114868 Issued in NY

Practice address

290 Broadway
Suite 215
New York, NY 10007-1823

Phone

(212) 637-3003

Fax

(212) 637-5155

NPI assigned

Jul 21, 2009

Sex

Male

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1104056431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BROADWAY",
            "address_2": "SUITE 215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071823",
            "telephone_number": "212-637-3003",
            "fax_number": "212-637-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BROADWAY",
            "address_2": "SUITE 215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071823",
            "telephone_number": "212-637-3003",
            "fax_number": "212-637-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESCH",
        "first_name": "ROBERT",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "114868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Boerem, N.P.
• Jessica Boerma, LCSW
• Heather Lynn Boerner, M.A., CCC/SLP
• Evan Michael Boes, LMSW
• Thomas Matthew Boes, MD
• Anouchka Boesmans, LMSW
• Allison Boester, MD
• Soenke Boettger, MD
• Friedrich Boettner, M.D.
• Hope Boeve, LCAT, LPC

• Occupational Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Occupational Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.