Jeffrey Boon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

295 Mary Jemison Dr
Geneseo, NY 14454-1285

Phone

(585) 243-0098

NPI assigned

Mar 8, 2011

Last updated

Jan 4, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Keystone Hospitalist Services of New York P.C.

  • Emergency Medicine Physician
  • Olean, NY
  • NPI 1174068761
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Geneseo, NY
  • NPI 1053761510
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1235437799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MARY JEMISON DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541285",
            "telephone_number": "585-243-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MARY JEMISON DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541285",
            "telephone_number": "585-243-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOON",
        "first_name": "JEFFREY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NYS",
            "identifier": "23014668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deena Rae Beaudet, DPT
• Abigail Grace Belford, PHARMD
• Maria Benzoni, M. ED., LMSW
• Daniel Charles Bessett, RPA
• Heather Lynn Bonadonna, LPN
• Nancy L Braaten/Boyd, RN
• Taylor Britton, LPN
• Richard Dennison Brooks, RPA-C
• Mark S Brown
• Janet Brzezniak, PT

• Physician Assistant in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.