Osteopathic Health Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

223039 Issued in NY

Legal business name

OSTEOPATHIC HEALTH CARE, PLLC

Practice address

650 Central Ave
Suite a
Cedarhurst, NY 11516-2301

Phone

(516) 295-1924

Fax

(516) 837-3737

NPI assigned

Feb 3, 2007

Last updated

Jun 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alla Boohoff, D.O.NPI 1396874525

Title

President

Phone

(516) 295-1924

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alla Boohoff, D.O.

  • Family Medicine Physician
  • Cedarhurst, NY
  • NPI 1396874525
  Authorized official Same address or phone

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1326186958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CONKLIN AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981342",
            "telephone_number": "516-295-1924",
            "fax_number": "516-837-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162301",
            "telephone_number": "516-295-1924",
            "fax_number": "516-837-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "BOOHOFF",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-295-1924",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933911",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cedarhurst, NY
• Providers in Cedarhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.