Individual provider Active NPI

Josh Andrew Boggi, RN

  • Registered Nurse
  • Chestnut Ridge, NY
National Provider Identifier
1497080253
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4863561 Issued in NY
Practice address
14 Oriole St
Chestnut Ridge, NY 10977-6142
Phone
(845) 364-6718
Fax
(845) 364-6718
NPI assigned
Oct 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4863561 NY Primary

Addresses

Primary practice location

14 Oriole St
Chestnut Ridge, NY 10977-6142

Mailing address

14 Oriole St
Chestnut Ridge, NY 10977-6142
Phone (845) 364-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4863561NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1497080253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ORIOLE ST",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776142",
            "telephone_number": "845-364-6718",
            "fax_number": "845-364-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ORIOLE ST",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776142",
            "telephone_number": "845-364-6718",
            "fax_number": "845-364-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGI",
        "first_name": "JOSH",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "4863561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.