Organization Active NPI

Boos, Stanley, C.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1164777595
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BOOS, STANLEY, C.
Practice address
2001 Oakmont St
Philadelphia, PA 19152
Phone
(215) 745-5577
Fax
(215) 765-6281
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Stanley C Boos, D.O.
Title
Owner
Phone
(215) 745-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2001 Oakmont St
Philadelphia, PA 19152

Mailing address

2001 Oakmont St
Philadelphia, PA 19152
Phone (215) 745-5577

National Provider Directory

National Provider Directory

Locations

2001 Oakmont St
Philadelphia, PA 19152
Phone (215) 745-5577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1164777595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 OAKMONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-745-5577",
            "fax_number": "215-765-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 OAKMONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-745-5577",
            "fax_number": "215-765-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOS, STANLEY, C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "BOOS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-745-5577",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.