Boris Matusevich Physician PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

217094 Issued in NY

Legal business name

BORIS MATUSEVICH PHYSICIAN PC

Practice address

1175 Montauk Hwy
Suite 3
West Islip, NY 11795

Phone

(631) 669-1171

Fax

(631) 669-1912

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Boris Matusevich, M.D.

Title

Physician

Phone

(631) 669-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1386890960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "address_2": "SUITE 3",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-669-1171",
            "fax_number": "631-669-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "address_2": "SUITE 3",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-669-1171",
            "fax_number": "631-669-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS MATUSEVICH PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MATUSEVICH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-669-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "217094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Bonamassa
• Samantha Bonatti, PT
• Brittany Bongiovi, PA-C
• Stephanie Marie Bonura, PA-C
• Borimir Darakchiev MD PC
• Halina Borowski, M.D.
• Melissa J Bosco, PA
• Tammy Ann Botte, MS.ED.
• Peter A Boulukos, M.D.
• Anna Brady

• Anesthesiology Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.