Active NPI
Nathan Boldur MD PLLC
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1558501213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 205589
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan Boldur, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1780757211
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.