Boris Golosarsky, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

10045 Issued in NH

Practice address

491 Amherst St Ste 105
Nashua, NH 03063-1259

Phone

(561) 515-8947

Fax

(561) 335-5182

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Services for Recovery, LLC

  dba GH Recovery Solutions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashua, NH
  • NPI 1811383276
  NPD (past)
• Mat Care Clinics LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Nashua, NH
  • NPI 1730789025
  NPD (past)
• Gatehouse Treatment of Tennessee, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Madison, TN
  • NPI 1134763717
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1164408498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 AMHERST ST STE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631259",
            "telephone_number": "561-515-8947",
            "fax_number": "561-335-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOSARSKY",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "10045",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NH",
            "license": "10045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010846",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074148",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot Roy Goldberg, D.D.S.
• Kenneth H Golden, M.D.
• Mark Gilbert Goldshein, M.D.
• Lindsay H Goldstein, MED, LMHC
• Radhika Goli, DMD
• Adriana Goncalves
• Colleen Anne Gonsalves, BCBA
• Maximillion Gonzales
• Angelica Gonzalez, M.D.
• Rhyannon Gonzalo, PA-C

• Addiction Medicine (Internal Medicine) Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Addiction Medicine (Internal Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.