Active NPI
Rachel Boyarsky, M.D.
- Pediatrics Physician
- Hamden, CT
National Provider Identifier
1174842546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 51893
- Practice address
- 9 Washington Ave
Hamden, CT 06518-3267 - Phone
- (203) 287-0552
- Fax
- (203) 287-1426
- NPI assigned
- May 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51893 | CT | Primary |
Addresses
Primary practice location
9 Washington Ave
Hamden, CT 06518-3267
Mailing address
9 Washington Ave
Hamden Pediatrics
Hamden, CT 06518-3267
Phone (203) 287-0552
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51893 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamden Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rachel@hamden.pcc-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1174842546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WASHINGTON AVE",
"address_2": "HAMDEN PEDIATRICS",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183267",
"telephone_number": "203-287-0552",
"fax_number": "203-287-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 WASHINGTON AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183267",
"telephone_number": "203-287-0552",
"fax_number": "203-287-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYARSKY",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "51893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.