Organization Active NPI

Nathan Boldur MD PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1558501213
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
205589 Issued in NY
Legal business name
NATHAN BOLDUR MD PLLC
Practice address
115 Eastern Pkwy
Ste 1G
Brooklyn, NY 11238-6085
Phone
(718) 636-1182
Fax
(718) 638-8588
NPI assigned
Feb 20, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Nathan Boldur, MDNPI 1780757211
Title
Physician
Phone
(718) 636-1182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 205589 NY Primary

Addresses

Primary practice location

115 Eastern Pkwy
Ste 1G
Brooklyn, NY 11238-6085

Mailing address

115 Eastern Pkwy
Ste 1G
Brooklyn, NY 11238-6086
Phone (718) 636-1182

National Provider Directory

National Provider Directory

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": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1558501213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTERN PKWY",
            "address_2": "STE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386086",
            "telephone_number": "718-636-1182",
            "fax_number": "718-638-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EASTERN PKWY",
            "address_2": "STE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386085",
            "telephone_number": "718-636-1182",
            "fax_number": "718-638-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN BOLDUR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "BOLDUR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-636-1182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "205589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.