Organization Active NPI

Robert J. Bos,M.D PC

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1477782563
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
193605 Issued in NY
Legal business name
ROBERT J. BOS,M.D PC
Practice address
985 Fifth Avenue
Suite 200
New York, NY 10075
Phone
(917) 539-7838
Fax
(212) 249-0426
NPI assigned
Jul 9, 2009
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Dr. Robert Jan Bos, MDNPI 1134295181
Title
Physician
Phone
(917) 539-7838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 193605 NY Primary

Addresses

Primary practice location

985 Fifth Avenue
Suite 200
New York, NY 10075

Mailing address

985 Fifth Avenue
Suite 200
New York, NY 10075
Phone (175) 397-8389

Other identifiers 1

IdentifierTypeStateIssuer
01562014MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091015000462 NY Part B Supplier - Clinic/Group Practice 8527104991 Receives reassigned benefits from 2 practitioners
Practice locations: Mohegan Lake, NY; New York, NY; Monsey, NY; New Rochelle, NY; Port Jervis, NY; Staten Island, NY; Wappingers Falls, NY; Yonkers, NY…

National Provider Directory

National Provider Directory

Locations

179E 85TH St
New York, NY 10028
Phone (212) 801-6885

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1477782563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 FIFTH AVENUE",
            "address_2": "SUITE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "175-397-8389",
            "fax_number": "212-758-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 FIFTH AVENUE",
            "address_2": "SUITE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "917-539-7838",
            "fax_number": "212-249-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BOS,M.D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-539-7838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "193605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01562014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.