Active NPI
Robert J. Bos,M.D PC
- Pulmonary Disease Physician
- New York, NY
National Provider Identifier
1477782563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 193605
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Jan Bos, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01562014 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1134295181
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.