Active NPI
William M. Boland, CES, NPRT, CPT
- Rehabilitation Practitioner
- New York, NY
National Provider Identifier
1336266337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 000000
- Practice address
- 247 3Rd Ave
Suite 503
New York, NY 10010-7457 - Phone
- (917) 609-9476
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 000000 | AS | Primary |
Addresses
Primary practice location
247 3Rd Ave
Suite 503
New York, NY 10010-7457
Mailing address
247 3Rd Ave
Suite 503
New York, NY 10010-7457
Phone (917) 609-9476
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1180319 | Other | NY | AETNA HEALTH MANAGEMENT |
| 2946934 | Other | NJ | OHIO CASUALTY GROUP INSUR |
| P3609467 | Other | CT | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | AS | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1336266337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 3RD AVE",
"address_2": "SUITE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107457",
"telephone_number": "917-609-9476",
"fax_number": "212-208-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 3RD AVE",
"address_2": "SUITE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107457",
"telephone_number": "917-609-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLAND",
"first_name": "WILLIAM",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "CES, NPRT, CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "AS",
"license": "000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH MANAGEMENT",
"identifier": "1180319",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO CASUALTY GROUP INSUR",
"identifier": "2946934",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3609467",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.