Organization Active NPI

Roger Kennedy Boyce MD

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1326018318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
142452 Issued in NY
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roger Kennedy BoyceNPI 1134110547
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)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00905404MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.