Organization Active NPI

David S. Boger, MD,Psychiatry, PC

  • Specialist
  • New York, NY
National Provider Identifier
1477858074
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
248496 Issued in NY
Legal business name
DAVID S. BOGER, MD,PSYCHIATRY, PC
Practice address
138 W 25TH St
Suite 622
New York, NY 10001-7405
Phone
(917) 574-7541
NPI assigned
Jan 13, 2011
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. David Sprott Boger, M.D.NPI 1609171016
Title
President of Corporation
Phone
(917) 574-7441

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
Specialist 174400000X 248496 NY Primary

Addresses

Primary practice location

138 W 25TH St
Suite 622
New York, NY 10001-7405

Mailing address

138 W 25TH St
Suite 622
New York, NY 10001-7405
Phone (917) 574-7541

National Provider Directory

National Provider Directory

Locations

138 W 25th St
Ste 622
New York, NY 10001
Phone (646) 413-9416

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1477858074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST",
            "address_2": "SUITE 622",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "917-574-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST",
            "address_2": "SUITE 622",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "917-574-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. BOGER, MD,PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BOGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SPROTT",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "917-574-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "248496",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 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.