NPIMap

Organization Active NPI

Back Office Management Services LLC

  • Podiatrist
  • Berea, KY
National Provider Identifier
1336652585
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BACK OFFICE MANAGEMENT SERVICES LLC
Practice address
1043 Brooklyn Blvd
Berea, KY 40403-1090
Phone
(718) 972-5000
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Alan R TajersteinNPI 1891782587
Title
Owner
Phone
(718) 972-5000

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

1043 Brooklyn Blvd
Berea, KY 40403-1090

Mailing address

2802 Avenue P
Brooklyn, NY 11229-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171213001379 KY Part B Supplier - Clinic/Group Practice 0143361824 Receives reassigned benefits from 3 practitioners
Practice locations: Berea, KY; Greenville, KY; Hopkinsville, KY; Leitchfield, KY; Princeton, KY; Russellville, KY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Back Office Management Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1333 W Main St
Princeton, KY 42445
Phone (270) 365-3541

2407 W Main St
Clarksville, TX 75426
Phone (877) 364-6571

699 W Campus Dr
Crane, TX 79731
Phone (432) 558-3400

100 NE Loop 304
Crockett, TX 75835
Phone (409) 544-2002

305 5th St
Farwell, TX 79325
Phone (806) 272-7544

1241 W Marshall Howard Blvd
Littlefield, TX 79339
Phone (806) 385-6600

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1336652585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 BROOKLYN BLVD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031090",
            "telephone_number": "718-972-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK OFFICE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "TAJERSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-972-5000"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.