Boris Spector, MS, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

017736 Issued in NY

Practice address

1833 E 13TH St Ste Ca
Brooklyn, NY 11229-2885

Phone

(718) 627-3939

Fax

(718) 627-8737

NPI assigned

Jun 17, 2005

Reactivated

Apr 3, 2006

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Bay Physmed, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1033145149
  Medicare reassignment NPD
• Ibs Diagnostics & Physical Therapy PC

  • Specialist
  • Brooklyn, NY
  • NPI 1174063168
  Medicare reassignment NPD
• Stanislav Kulishov Physician P.C.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Brooklyn, NY
  • NPI 1477627370
  Medicare reassignment NPD

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1326043142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NOTRE DAME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082237",
            "telephone_number": "917-734-4533",
            "fax_number": "718-627-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST STE CA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292885",
            "telephone_number": "718-627-3939",
            "fax_number": "718-627-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Brighton Beach Ave",
            "address_2": "Unit 1-Z",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355572",
            "country_code": "US",
            "telephone_number": "718-232-5050",
            "fax_number": "718-232-1269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294604",
            "country_code": "US",
            "telephone_number": "718-934-6777",
            "fax_number": "718-934-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-02-25",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "017736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specs RX, Inc.
• Specstacular II (pearle vision center)
• Specstacular, Inc (Pearle Vision Center)
• Spectacles of 7TH Avenue, Inc.
• Ahuva Spector
• Devorah Spector, M.S. SLP
• Jennie Spector, LCSW
• Joanne Spector
• Joel Spector, D.M.D.
• Joseph G Spector, M.D.

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.