Svjetlan Boskovic, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

64805 Issued in CT

Practice address

143 Munson St
Greenfield, MA 01301-9694

Phone

(413) 773-8428

NPI assigned

Jan 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1518205301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BLUEBERRY HILL RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061659",
            "telephone_number": "617-899-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 MUNSON ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013019694",
            "telephone_number": "413-773-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSKOVIC",
        "first_name": "SVJETLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "64805",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "64805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Boliski
• Mark P Bombardier, PA
• Estelle Bonaceto
• Heather E Booth, MA
• Denise Beatrice Bordeaux, RN, MT
• Lisa Bostrom
• Liam Botelho
• Leylee Botkin
• Lindsay P.B. Boudreau, LICSW
• Elizabeth Bouyea

• Internal Medicine Physician in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.