Active NPI
Alan Boyo Sperber, M.D.
- Urology Physician
- New York, NY
National Provider Identifier
1669570719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 104169
- Practice address
- 161 Madison Ave
7-SW
New York, NY 10016-5421 - Phone
- (917) 859-4784
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 104169 | NY | Primary |
Addresses
Primary practice location
161 Madison Ave
7-SW
New York, NY 10016-5421
Mailing address
250 W 94TH St # 7B
New York, NY 10025-6954
Phone (917) 859-4784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00181207 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Medical, P.C. | Urology | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669570719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 94TH ST # 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256954",
"telephone_number": "917-859-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"address_2": "7-SW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165421",
"telephone_number": "917-859-4784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERBER",
"first_name": "ALAN",
"middle_name": "BOYO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "104169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00181207",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.