Alan J Boykin MD PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

177068 Issued in NY

Legal business name

ALAN J BOYKIN MD PC

Practice address

16020 Willets Point Blvd
Whitestone, NY 11357-3342

Phone

(718) 279-4300

Fax

(212) 202-4939

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Alan Boykin, M.D.

Title

Owner

Phone

(516) 840-6929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1265836951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FINUCANE PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981309",
            "telephone_number": "516-840-6929",
            "fax_number": "516-569-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573342",
            "telephone_number": "718-279-4300",
            "fax_number": "212-202-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN J BOYKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-840-6929",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "177068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular & Interventional Radiology Physician in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.