Active NPI
Roger Kennedy Boyce MD
- Legal Medicine
- Brooklyn, NY
National Provider Identifier
1326018318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 142452
- Legal business name
- ROGER KENNEDY BOYCE MD
- Practice address
- 1821 Bedford Ave
Brooklyn, NY 11225-3903 - Phone
- (718) 826-1177
- NPI assigned
- Jan 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger Kennedy Boyce
- Title
- Sole Proprieter
- Phone
- (718) 826-1177
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 142452 | NY | Primary |
Addresses
Primary practice location
1821 Bedford Ave
Brooklyn, NY 11225-3903
Mailing address
1821 Bedford Ave
Brooklyn, NY 11225-3903
Phone (718) 826-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00905404 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1134110547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326018318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253903",
"telephone_number": "718-826-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253903",
"telephone_number": "718-826-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER KENNEDY BOYCE MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOYCE",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "KENNEDY",
"authorized_official_title_or_position": "SOLE PROPRIETER",
"authorized_official_telephone_number": "718-826-1177"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NY",
"license": "142452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00905404",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.