Individual provider Active NPI

William Edward Boggiano, M.D.

  • Psychiatry Physician
  • Franklinville, NY
National Provider Identifier
1609110113
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
146322-1 Issued in NY
Practice address
7 Maple Ave
Franklinville, NY 14737-1314
Phone
(716) 676-2056
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 146322-1 NY Primary
Geriatric Psychiatry Physician 2084P0805X 146322-1 NY

Addresses

Primary practice location

7 Maple Ave
Franklinville, NY 14737-1314

Mailing address

7 Maple Ave
PO Box 196
Franklinville, NY 14737-1314
Phone (716) 676-2056

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326002739 NY Practitioner - Psychiatry 6204159338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146322-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Psychiatric Practice, Inc Psychiatry CurrentSince Jan 29, 2018 Accepting new patients

Locations

462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1609110113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAPLE AVE",
            "address_2": "PO BOX 196",
            "city": "FRANKLINVILLE",
            "state": "NY",
            "postal_code": "147371314",
            "telephone_number": "716-676-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAPLE AVE",
            "city": "FRANKLINVILLE",
            "state": "NY",
            "postal_code": "147371314",
            "telephone_number": "716-676-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGIANO",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "146322-1",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "146322-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinville, NY

Sources for this page

Verify at the official NPI Registry.