Active NPI
Boris Nemirovsky, MD
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
National Provider Identifier
1316059462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 032418E
- Practice address
- 9892 Bustleton Ave
Ste 206
Philadelphia, PA 19115-2139 - Phone
- (215) 698-2220
- Fax
- (215) 464-1808
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 032418E | PA | Primary |
Addresses
Primary practice location
9892 Bustleton Ave
Ste 206
Philadelphia, PA 19115-2139
Mailing address
PO Box 52036
Philadelphia, PA 19115-7036
Phone (215) 698-2220
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232610603 | Other | CIGNA | |
| 5444501 | Other | AETNA PPO GROUP PIN | |
| 0010005980001 | Medicaid | PA | |
| 0100059801 | Other | AMERICHOICE | |
| 098916T50 | Other | MEDICARE PIN | |
| 090307 | Other | MEDICARE GROUP | |
| 98916 | Other | HIGHMARCK BCBS PIN | |
| P2784771 | Other | OXFORD HEALTH PLAN | |
| 0058439000 | Other | KHPE KH65 AMERIHEALTH HMO | |
| 0876682 | Other | AETNA HMO GROUP PIN | |
| 98916 | Other | HORIZON | |
| P11221508 | Other | MULTIPLAN HEALTH EOS | |
| 1013277410001 | Other | DPA GROUP | |
| 1702545 | Other | HIGHMARK BCBS GROUP | |
| 249697 | Other | HEALTHNET | |
| 0010005980001 | Other | DPA | |
| 1048941 | Other | KEYSTONE MERCY | |
| 2374620000 | Other | KHPE KH65 AMERIHEALTH HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9892 Bustleton Ave
Suite 206
Philadelphia, PA 19115-2139
Phone (215) 698-2220
Hospital & facility affiliations
- Jefferson Einstein Philadelphia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032418E | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&M Medical Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1225140387
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1083774244
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1316059462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52036",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191157036",
"telephone_number": "215-698-2220",
"fax_number": "215-464-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9892 BUSTLETON AVE",
"address_2": "STE 206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152139",
"telephone_number": "215-698-2220",
"fax_number": "215-464-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMIROVSKY",
"first_name": "BORIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "032418E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "232610603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO GROUP PIN",
"identifier": "5444501",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010005980001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0100059801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "098916T50",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "090307",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARCK BCBS PIN",
"identifier": "98916",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P2784771",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE KH65 AMERIHEALTH HMO",
"identifier": "0058439000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO GROUP PIN",
"identifier": "0876682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "98916",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN HEALTH EOS",
"identifier": "P11221508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPA GROUP",
"identifier": "1013277410001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS GROUP",
"identifier": "1702545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "249697",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPA",
"identifier": "0010005980001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1048941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE KH65 AMERIHEALTH HMO",
"identifier": "2374620000",
"state": null
}
],
"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 Jan 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.