Boris Urology, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME82314 Issued in FL

Legal business name

BORIS UROLOGY, PA

Doing business as

Boris Klopukh, M.D.

Practice address

21110 Biscayne Blvd
Suite 106
Aventura, FL 33180-1227

Phone

(305) 534-4747

Fax

(305) 937-7726

NPI assigned

May 16, 2008

Last updated

Oct 20, 2011By 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

Dr. Boris Valerian Klopukh, M.D.NPI 1003873183

Title

Physician

Phone

(305) 801-7079

Specialties & licenses 1

Addresses

Other names 1

• BORIS KLOPUKH, M.D. Doing business as

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.

• Boris V Klopukh, MD

  • Urology Physician
  • Aventura, FL
  • NPI 1003873183
  Authorized official Same address or phone

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1447417647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S OCEAN DR",
            "address_2": "#7C",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095981",
            "telephone_number": "305-801-7079",
            "fax_number": "305-937-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 106",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-534-4747",
            "fax_number": "305-937-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "KLOPUKH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "VALERIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-801-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME82314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BORIS KLOPUKH, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bojana Bjekic-Bhardwaj MD PA
• Courtney Nicole Bolick, ARNP
• Bond Aesthetic, P.a.
• Jennifer Bonifacio
• Ashley Borbon
• Anna Boroff
• Nicole Boswell, DPT
• Constantinos George Boufeas, DO
• Madeline Boulet
• Shanee Aviva Bouskila

• Urology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.