Individual provider Active NPI

Giovanni Boiano, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Eastchester, NY
National Provider Identifier
1316037732
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
046014 Issued in NY
Practice address
300 Main St
Eastchester, NY 10709-2916
Phone
(914) 268-0020
NPI assigned
Oct 14, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046014 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 046014 NY Primary

Addresses

Primary practice location

300 Main St
Eastchester, NY 10709-2916

Mailing address

3651 E Tremont Ave
Bronx, NY 10465-2036
Phone (718) 597-6500

Other practice location 1

3651 E Tremont Ave
Bronx, NY 10465-2036
Phone (718) 597-6500

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830001007 NY Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 0648508523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giovanni Boiano DDS PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316037732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652036",
            "telephone_number": "718-597-6500",
            "fax_number": "718-597-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092916",
            "telephone_number": "914-268-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104652036",
            "country_code": "US",
            "telephone_number": "718-597-6500",
            "fax_number": "718-597-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOIANO",
        "first_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046014",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "046014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.