Daniel Pabayo Bolocboloc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348662 Issued in NY

Practice address

57-18 Woodside Ave
Ste 101, 2ND Floor
Woodside, NY 11377-3415

Phone

(347) 527-2257

Fax

(888) 720-6963

NPI assigned

Jan 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York Downstate Medical Center, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope Medical Services PCGroup PAC ID 9931385424, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Medical Services PC

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1265723548

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Alicia Almendral MD PLLC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1083930945

  Single Specialty

  Medicare reassignment NPD
• Edward Pineles, M.D., P.C.

  • Pulmonary Disease Physician
  • Flushing, NY
  • NPI 1467951947

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1548911506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAINSAIL DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723434",
            "telephone_number": "516-812-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57-18 WOODSIDE AVE",
            "address_2": "STE 101, 2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773415",
            "telephone_number": "347-527-2257",
            "fax_number": "888-720-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOCBOLOC",
        "first_name": "DANIEL",
        "middle_name": "PABAYO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Six Pharmacy
• Big Six Pharmacy Corp
• Sarina Birsh, LMSW
• Bismillah Drugs Inc
• Alejandra Bolanos
• Nora Boodoo
• Xiomara Borja, LCSW
• Arial Borukhov
• Melissa Bosch
• Anamaria Nicoleta Bostan, MA SLP

• Family Nurse Practitioner in Woodside, NY
• Providers in Woodside, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.