Active NPI
Bojana Krgin, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bronx, NY
National Provider Identifier
1396708277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 185303
- Practice address
- 2475 Saint Raymonds Ave
Bronx, NY 10461-3124 - Phone
- (718) 430-4384
- Fax
- (718) 430-7337
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 185303 | NY | Primary |
Addresses
Primary practice location
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Mailing address
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Phone (718) 430-4384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01839990 | Medicaid | NY | |
| 52R41 | Other | NY | BC/BS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1396708277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 SAINT RAYMONDS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613124",
"telephone_number": "718-430-4384",
"fax_number": "718-430-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 SAINT RAYMONDS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613124",
"telephone_number": "718-430-4384",
"fax_number": "718-430-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRGIN",
"first_name": "BOJANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "185303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01839990",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "52R41",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.