Organization Active NPI

Boleslav Kosharskyy, Medical Practice, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1619416294
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
234893 Issued in NY
Legal business name
BOLESLAV KOSHARSKYY, MEDICAL PRACTICE, P.C.
Practice address
44 W 127TH St Apt 1a
New York, NY 10027-3888
Phone
(917) 402-2606
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Boleslav Kosharskyy
Title
Director
Phone
(917) 402-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 234893 NY Primary

Addresses

Primary practice location

44 W 127TH St Apt 1a
New York, NY 10027-3888

Mailing address

44 W 127TH St Apt 1a
New York, NY 10027-3888
Phone (917) 402-2606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1619416294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 127TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273888",
            "telephone_number": "917-402-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W 127TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273888",
            "telephone_number": "917-402-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLESLAV KOSHARSKYY, MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "KOSHARSKYY",
        "authorized_official_first_name": "BOLESLAV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-402-2606",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "234893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.