Paige Michelle Boyajian, RN
Individual provider Active NPI Registered Nurse · Centereach, NY
NPI 1467920801 · NPPES record last updated Nov 4, 2018
Key facts
- NPI
- 1467920801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 00728817 (NY)
- Practice address
- 45 Blydenburgh Rd
Centereach, NY 11720-4301 - Phone
- (631) 737-1788
- Fax
- (631) 737-1441
- NPI assigned
- Nov 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00728817 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 00728817 | NY | Yes |
Addresses
Primary practice location
45 Blydenburgh Rd
Centereach, NY 11720-4301
Mailing address
428 Alphabet St
Holbrook, NY 11741-5702
Phone (631) 521-5290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Other providers in Centereach, NY
- Christa Rebecca Bordeaux
- Gianna Boscarino
- Gina Marie Bosco
- Melissa T. Bossert
- Victoria Bossoreale
- Laura Elizabeth Brady
- Danielle Brennan
- Barbara Jean Broggelwirth
- Linda Jean Brown
- Michele Dawn Buddenhagen
All providers in Centereach, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.