NPIMap

Organization Active NPI

Boris Urology, PA

  • Urology Physician
  • Aventura, FL
National Provider Identifier
1447417647
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME82314 Issued in FL
Legal business name
BORIS UROLOGY, PA
Practice address
21110 Biscayne Blvd
Suite 106
Aventura, FL 33180-1227
Phone
(305) 534-4747
Fax
(305) 937-7726
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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.
Title
Physician
Phone
(305) 801-7079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME82314 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd
Suite 106
Aventura, FL 33180-1227

Mailing address

1912 S Ocean Dr
#7C
Hallandale Beach, FL 33009-5981
Phone (305) 801-7079

Other names 1

  • BORIS KLOPUKH, M.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • 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.