NPIMap

Individual provider Active NPI

Alessandro S Boschi, M.D.

  • Specialist
  • Lehighton, PA
National Provider Identifier
1104904671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD041784E Issued in PA
Practice address
180 N 12TH St
Lehighton, PA 18235-1115
Phone
(610) 377-5010
Fax
(610) 377-5000
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD041784E PA Primary

Addresses

Primary practice location

180 N 12TH St
Lehighton, PA 18235-1115

Mailing address

180 N 12TH St
Lehighton, PA 18235-1115
Phone (610) 377-5010

Other identifiers 1

IdentifierTypeStateIssuer
0011536400001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000344 PA Practitioner - Obstetrics/Gynecology 3678587599 Practice locations: Palmerton, PA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Columbia University College of Physicians and Surgeons, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

241 Delaware Ave
Palmerton, PA 18071-1812
Phone (610) 377-5010

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041784EPAMDSpecialist

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104904671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351115",
            "telephone_number": "610-377-5010",
            "fax_number": "610-377-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351115",
            "telephone_number": "610-377-5010",
            "fax_number": "610-377-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHI",
        "first_name": "ALESSANDRO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD041784E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011536400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.